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110 N Laurel St - Building
ETI■ el city" o s This certificate is issuedpursuant to th, Code certif �ing that at'th6ihie," imc ofthe City regulating�buildng';consfru Business name: �Barhop Tapr' Business address;: ` ;i110 =N"LaurE Property owner: 4e :: a= xY`' Diana Property owner's; ddress :`' PO Bi v. Automatic fire sprinklerrsystem: Use & occupancy classaf cation: Buildingpermit num, 0 4` Occupant load: `: Type of construction: x�l SAM Nathan A. West, AICD Nt001,� Post on the premises in a conspicuous place. sion - p Ylre *9 International Building k?- f ante with the various ordinances 33 07/01/11 i ffimie"Development Date be removed except by the Building Official. e o�ti�o�T.�,tiL CERTIFICATE OF OCCUPANCY APPLICATION Permit# — S 00_,U FEES CITY OF PONT ANGELES QCertificate / Inspection Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362Parking Business Improvement Area (PBIA) (360) 417-4815 fax (360) 417-4711fee charged for Downtown locations PLEASE PRINT IN INK Check one: New business in P.A.?4Change of ownership only? 11Moving location from within P.A.? ❑ Zoning BUSINESS NAME GAr Business address //0 �La c>f-�� /'M��aillii�ng address //�(o � �� _! {&-e-i— Phone number s-y�� Slss— Opening date.,—Days & hours of operation I --/0�--- Business owner's name A nContact phone Business owner's address Brief description of business u Property owner's name Property owner's address/contact BUILDING DEPARTMENT phone 417-4815 Is the business a restaurant or bar that will seat 50 or more people? Contact phone _W -- %6 — S-43 7 Bldg approval by3LV on (0-Z_1-(( Yes ❑ No X Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc). Work planned: XYLI—e FIRE DEPARTMENT phone 417-4653 Changes to a fire sprinkler system or fire alarm system? Yes ❑ No Work planned: PBIA (Parking Business Improvement Area - Downtown) phone 417-4623 c Square footage of business? 1��6 C j `— Is business moving within the PBIA? Yes _ ❑ No X CITY CLERK phone 417-4634 Second-hand dealer/pawn broker business? Yes ❑ No N Will there be dancing at this business? Yes ❑ No )Q A City of Port Angeles Business License is required for: Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance, Hotel -Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 Fire approval by Kb t on 6-2,0-11 notified I< n on City Clerk approval by 7H on S — 13 I 3 COMMUNITY & ECONOMIC DEVELOPMENT phone 417-4750 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: ` CED approval by 5F_ PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by ^V 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 ❑ Nom Work planned: on q—)-9-10 on 5 -Ib -II PUBLIC WORKS WASTEWATER phone 417-4845 I PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ No A If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter. I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. Date �� �/ Print Name _w C tA/ Signature T'TormsTudding Division\Certificate of Occupancy Application (2010).doc / v Page 2 of 2 I COMMUNITY & ECONOMIC DEVELOPMENT phone 417-4750 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/:: J CED approval by 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 ❑ Nom Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 on �rrc. aNYivvai u`y R vii C�`/6`// PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ No K If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter. I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. Dates `j Print Name / � uj f `-k f Signature T:1Formsl8uilding Division\Ceriiricate of Occupancy Application (2010).doc / Page 2 of 2 I COMMUNITY & ECONOMIC DEVELOPMENT phone 417-4750 CED _approval by- on S�.�Z�l l t o t Number of off-street parking spaces available for employees and )D customers? (A parking.plan may be required.) Signs? (wall -mounted, freestanding, projecting, awning, A -frame, etc?) Signs planned: /f()/jj_ / ' ✓�( 1 m C -e- Y , l�i� /r. it -e-1 r c / -o PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. �v"ri= aNfp v'v ai uy' 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 ❑ Nom Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 I PWW approval by on V// Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ No A If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653, Please sign up for utility services at the cashiers' counter. I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information. I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. Dates �� �� Print Name Signature T\FormslBuilding DivisloMCedificale of Occupancy Application (2010).doc Page 2 of 2 PREPARED 6/21/11, 8:30:34 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/21/11 --------- - ----- — - -- ADDRESS . : 110 N LAUREL ST SUBDIV: TENANT, NBR: BARHOP TAPROOM CONTRACTOR : PHONE OWNER DIANE MARKLEY PHONE (360) 457-5678 PARCEL 06-30-00-0-0-1569-0000- APPL NUMBER: 11-00000457 CO- CHANGE OF OCCP/USE ----------- ---------------------------------------------------------------- PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------- ------------------------------ -------------- 0099 01 6/17/11 JLL BLDG C/O FINAL TIME: 01:00 6/17/11 DA • OVERRIDE TAKEN BY LPANGRLE DATE: 06/16/11 TIME: 15:06:58 June 16, 2011 3:05:32 PM 1pangrle. THOMAS 460-5155 C OF 0 FINAL - BARHOP TAPROOM AFTERNOON PLEASE CALL HIM 10 -MINUTES BEFORE YOU GET THERE_ June 17, 2011 4:46:08 PM jlierly. no acess left message at return phone number/ill C099 02 6/21/11 L BLDG C/O FINAL TIME: 01:00 * OVERRIDE TAKEN BY LPANGRLE DATE: 06/20/11 TIME: 15:32:43 June 20, 2011 3:31:23 PM 1pangrle. TOM 460-5155 C OF 0 FINAL - BARHOP TAPROOM AFTERNOON PLEASE CALL HIM 10 -MINUTES BEFORE YOU GET THERE. G -------------------------------------- COMMENTS AND NOTES -------------------------------------- `� PREPARED 6/17/11, 8:41:18 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/17/11 ------------------------------------------------------------------------------------------------ ADDRESS : 110 N LAUREL ST SUBDIV: TENANT, NBR: BARHOP TAPROOM CONTRACTOR : PHONE OWNER DIANE MARKLEY PHONE (360) 457-5678 PARCEL 06-30-00-0-0-1569-0000- APPL NUMBER: 11-00000457 CO- CHANGE OF OCCP/USE ------------------------------------------------------------------------------------------------ PERMIT: CO 00 CHANGE OF OCCUP/USE - REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---- - ------ — ------------------- 0099 01 6/17/11 JLL BLDG C/O FINAL TIME: 01:00 OVERRIDE TAKEN LPANGRLE DATE: 06/16/11 TIME: 15:06:58 June 16, 2011 3:055:: 32 PM 1pangrle. THOMAS 460-5155 C OF O FINAL - BARHOP TAPROOM AFTERNOON PLEASE CALL HIM 10 -MINUTES BEFORE YOU GET THERE. ---------=---------------------------- COMMENTS AND NOTES O ELECTRICAL PERMIT CITY OF PORT ANGELES d 360-417-4735 N Application Number 10 00001021 Date 9/16/10 Application pin number 607787 Property Address 110 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 1 circuit for coffee brewer Owner Contractor DIANE MARKLEY SIMPSON ELECTRIC PO BOX 2835 243036 W HWY 101 PORT ANGELES WA 983620333 PORT ANGELES WA 98363 (360) 457 5678 (360) 457 9270 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 173385 Permit Fee 73 50 Plan Check Fee 00 Issue Date 9/16/10 valuation 0 Expiration Date 3/15/11 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50 Fee summary Charged Paid Credited Due Permit Fee Total 73 50 73 50 00 00 Plan Check Total 00 00 00 00 Grand Total 73 50 73 50 00 00 INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS DATE. RESULTS Q�21�L0 � 9 �zr Ito PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. mi Signature of owner or Electrical Contractor X Date: Z F SEP 1 2009 Crry 41F poRT A,NC.+.uss P.TRmn A,1"micA.'>t oN ELECTRICAL Rnilding DobioisaMee trleol knopaectianq ' INSPECTIONS 321 last 1r'lfh Street .--1'.U. ftm 11501 Port Angeles W antllll , "362 Ph. (364) 417-4735 Tans: (3611) 4174711 1 & 2 Single ffilly panelling __ Multi-rarnpy or Commercial" ,�C Ctnrimmi9i Addition I Altefatlr 1 I Ra WSI I Repeit* * Plan Review May Be Require Please Cam EW*al Pian Review inftxtntdfan Sheet Jolt Addt n. INA" Squem Footagar t>esCdpllon of shave ril+090-CA tar./ tL .ry __._l.'�, ,ia,rar:Q.t 4•� l Nareritnfomlp�lan Nem o: � ��.�--- Maihtg Al 9s•j1 N I Ma1Nng Cliy. 1, A stela; l A. lila. S.3-bZ CNy: �- -- Sr 2 LOJr'; 'Pho"e-„ tQA'Bjf�,2,, Fax: F�Itoua —Fox;_: Ft#x: nk ':�D Liaanrle # I F.xp. ut>flnsaim f W,,� -- � 1 �, ^aGatvinefteft 21 1 Atnp. $119.90--- Smvloe/Feeder2111400Amp. $14.5.50 SetvlrsiFeeder4G1-800 Amp $ 204.80 SwAmFeeder801-10th)Amp. $2M70-- SmulWFeeder mar 1000 Amp. $ 372.60 -- Branch Circuli Wt service Feeder $ 260 S� Breach ClrcuR w/o Sorvloa Feeder $ 73.50 Each Additional Branch Cirruir $ 2.60. - Tamp. Service/ Feeder 200 Amp. $ 92.70 Temp. AMp. $110.30. - Tamp. Service1Fmdgr 401.W Amp. $148.70 Temp, SorviaetFee W601.1000 Atm $167.90 PoAai to Portal Howly $ 95.90 SigntOutNrta klgMing $ 88,20 Signal Cirrstlt/t.Wed 9 mW / FftM 1SOD efC fad $ 95.50......_. - Note: $5.00 fbr eahh eddilI mel 1 sf Signal Ciroull/ i.lmrled Eaengy 1 & 2 waMlty .1 ng $ 03.90 t- SignaiGtc»Ittl<imrtodi;nergy Arhdti-�amiiyi3urefli g $ 83,90 .,_ �. $,._,.. -- Malnaha5tumd Nome Conner m $1119,90 Rem*Me Sit .nt ". y BWVA : psiem or 1. $109_30 'fltarmostatt $ G8.t10 MM MT_RUCiICt11 Q Y: FIM '1300 Sciums Fl $110.30 $ E90 Addltiond SOD Sgftm Ft. at Pataon of $ 3520 Each OubArfing or iiethohed Grtrrage $ 13.50 $ Bath Swimming Pool ofti Tub $110.30low _ $ Owner as defined by AM 19,282911 (1) 0wrer will occupy the structure for !Wo yearn aftr this elet:&icdt pool fs amiked. + Ciauanaarfs requM to hire an olectrical cotorector If epc.ve said ty is far sale, refit er lasm. PefmB e*m. ager six fnDft of fest Inapedm After reading the oboe statement, hereby that i tlnil fife owner of the alcove named pmparty or a ftwed eieWk* ca.1 Off t tint MWft the slechtcal frotallidan or alterallo in o tt nee wflh the sit CWCai jaws, N.EC., RCW. Chapter 19.28, WAC, Chapter 2W N E The city of Pott Angeles Municipal Code, and UffR�f Aral PAMC 14.15.0111 repreg Siewcal Permit Apollcdons. Sigrid a�f ovmr, adteetrlaw or sdmiw+ism tar Ci duct 0 t 10 Z �` 1 1 C E RTIFICAT 01F C U PA N CY 41 CBity of 'Port Angeles - 'Building Vvision This certificate is issuedpursuant-to the requirements of Section 110 of the 2066 International Building Code certifying that at the time,",,of issuance.ihis,structure was in compliance with the various ordinances of the City regulating building constr.:ucti6fi-or useiar the following . Business name ; '; Princess Valiant,..66ffee, .(Owner ,Denise Rre hh. an) Business address 9 11,Q N`Laurel 'St. Property owner F. Diane Markley' rt 3 Property owner s address: PO Box 283'5;!-Port,Angeles 111%A:98,$PZ,'0333 Automatic fire sprinkler.system. Per IBC Use & occupancy classifcation. Mercantile Occupant load. - Per2�.®.6IB,C.; Table40.04:1- Buildingpermit number' •102"_r P Type of construction. VBA > 03-08-10 `1'.V 'N Sue o'beYi : lannzng Manager Date Post on the premises in a conspicuous place. This eeftifkfile-slia'1l not be removed except by the Building Official. Z �` PREPARED 2/04/10 8 09 20 -NSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/04/10 ADDRESS 110 N LAUREL ST SUBDIV TENANT NBR PRINCESS VALIANT COFFEE CONTRACTOR PHONE OWNER DIANE MARKLEY PHONE (360) 457 5678 PARCEL 06 30 00 0 0 1569 0000 APPL NUMBER 10 00000102 CO CHANGE OF OCCP/USE PERMIT CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS C099 01 2/04/10 JLL BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LE DATE 02/03/10 TIME 1 32 31 February 1 20 0 2 12258 58 PM 1pangrle SANDY GROSS 461 7893 C OF C FINAL PRINCESS VALIANT COFFEE AFTERNOON PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE COMMS TS AND NOTES ON ORT,I("' CERTIFICATE OF OCCUPANCY APPLICATION Permit# 1'0 —1 Oji 1Y ` CITY OF PORT ANGELES FEES Attn. Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 E$5000 Certificate/Inspection (360) 417-4815 fax (360) 417-4711 0 Parking Business Improvement Area (PBIA) Print in ink fee charged for downtown locations _ G Iti u h.A F loD r - BUSINESS NAME BUSINESS ADDRESS , Zoning Business mailing address �� (� �,C"of � 1��¢ Phone # Opening dateyj/f p�2Days &hation i�.��' 3100-4�1a0 -�1� Washington State Tax I D # If known list the name of the previous K ed business t this locationj�, (hayy� y Brief description of proposed business v Business owner's name ,,jam &;¢—AJ Phone #f 0-� / Business owner's home address 4\S V4W,2Q_ p (l..lr¢ Q1&._ 49.E 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 FOLLOWING? I NOV YES-` IF YES CONTACT Electrical changes New business ✓ New or relocated signs �Q_—SKi h 111urn . S:Ic h i X Electrical Dept. at 417-4735 i X I Building Div at 41'-4815 Construction changes U Transfer of business Mechanical changes (ventilation, heating, cooling, etc.) < location from a Plumbing changes PBIA location Fire sprinkler system changes Fire alarm system changes I ! Transfer of business New or relocated sewer or water service I X Public Works at 17-4807 location from a Excavation or filling of lots X non-PBIA location Work done in the City right-of-way �! New driveway openings Change of ownership I I Crading site drainage (parking lots, downspouts, etc.) I yt I I I Landscape irrigation system (backflow devices) ?C Water Dept. at 417-4886 Remodel I Is this a home occupation? Planning Div at 417-4750 Is this a second-hand dealer or pawnbroker business? I City Clerk at 417-4634 Temporary business I Is there off-street parking for this business? j< How many spaces? Is the street in front of this business paved? I V Change of use I Is there a sidewalk in front of this business? I/ I Is there a curb & gutter in front of this business? `y4, Call for Certificate of OCCupancv inspections before openinct business. Building Department Inspection 41.7-4815 & rFire Department Inspection 417-4653 Please_sign.up.for utility services at the cashier counter• Please provide a. minimum 24-hour notice for inspections. I hereby apply for a Certificate of. Occupancy I acknowledge that I have read this application and state that the. information t have supplied is correct to the best of my knowledge Date ;2 —10 Print Name Z09/1%� ,�/Q�JI//l/�Q-Jl� Signature For City use only Department Approved Rejected Comments Initials & date I Initials & date / Conditions Building ^'C �� Type of construction -Occupant Load Fire CJ��O a/npD. Automatic fire sprinkler system required no yes PBIA Planning 2�ZZ It1$% City Clerk Public Works 2�5�10 ew 'Pcrms�8ui!ding Division/Certificate of Occupancy App!icat n N/ 5 /,2, FA 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 Property ID' 55941 Legal Description: LT20 BL 15 Geographic ID0630000015690000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 59 Open Space: N DFL N Historic Property N Remodel Property N Multi -Family Redevelopment: N Location Address: 104 N LAUREL ST 112 Mapsco: PORT ANGELES, Neighborhood: Cycle 5 Comm Map ID, ` Neighborhood CD' 20953140 u\ Owner Name: DIANE MARKLEY Owner ID' 38864 Mailing Address: PO BOX 2835 % Ownership 100.0000000000% PORT ANGELES, WA 98362-0333 Exemptions: Taxes and Assessments Due Property Tax Information as of 02/01/2010 Amount Due if Paid on: n. . Statement~ _--- LL First Half Base j Second Half Base -- m Base Amount Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Due 2009 559412008 ST SCH STATE SCHOOL $556.10 $556.10 $0.00 $0.00 $1112.20 $0.00 2009 559412008 CC -GEN COUNTY $28144 $28143 $0.00 $0.00 $562.87 $0.00 2009 559412008 PORT PORT $39.86 $39.87 $0.00 $0.00 $7973 $0.00 2009 559412008 PORT ANG PORT ANGELES $617,31 $617.30 $0.00 $0.00 $1234.61 $0.00 2009 559412008 SD #121 SCHOOL DISTRICT #121 $68771 $687 71 $0.00 $0.00 $137542 $0.00 2009 559412008 NTH OLY LIB NORTH OLYMPIC LIBRARY $81 77 $81 78 $0.00 $0.00 $163.55 $0.00 2009 559412008 HOSP #2 HOSPITAL #2 $115.42 $115.42 $0.00 $0.00 $230.84 $0.00 2009 559412008 CITY_STORMWATER CITY STORMWATER $62.89 $62.90 $0.00 $0.00 $12579 $0.00 2009 559412008 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00 2009 559412008 TOTAL. $2443.32 $2443.32 $0.00 $0.00 $4886.64 $0.00 NOTE. If you plan to submit payment on a future date, make sure you enter the date and RECALCULATE to obtain the correct total amount due. Values (+) Improvement Homesite Value: N/A (+) Improvement Non-Homesite Value: N/A (+) Land Homesite Value: + N/A (t) Land Non-Homesite Value: N/A Ag / Timber Use Value (+) Curr Use (HS): N/A N/A (+) Curr Use (NHS): N/A N/A (_) Market Value: N/A (-) Productivity Loss. - N/A (_) Subtotal: N/A (+) Senior Appraised Value: N/A (+) Non -Senior Appraised Value: N/A (-) Total Appraised Value: = N/A (-) Senior Exemption Loss: - N/A (-) Exemption Loss: - N/A (-) Taxable Value. N/A http.//vpn.clatlam net.8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=55941 2/1/2010 CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 05 00001262 Date 12/23/05 Application pin number 365944 Property Address 110 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 Owner Contractor MARKLEY TTE DIANE L APS ELECTRIC PO BOX 2835 546 BENSON RD PORT ANGELES WA 983620333 PORT ANGELES PORT ANGELES WA 98363 (360) 452 6753 Permit ELECTRICAL ALTER COMMERCIAL Additional desc APS/ 2 CIRCUITS COMM Permit pin number 67595 Sub Contractor APS ELECTRIC Permit Fee 61 30 Plan Check Fee 00 Issue Date 12/23/05 valuation 0 Expiration Date 6/21/06 Qty Unit Charge Per Extension 1 00 61 3000 ECH EL COMM ALT <5 CIRCUITS 61 30 <11 Fee summary Charged Paid Credited Due Permit Fee Total 61 30 61.30 00 00 Plan Check Total 00 00 00 00 Grand Total 61 30 61 30 00 00 S \,I COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417A735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A NUMB" 24 HOUR NOTICE. ITIS UNLAWFUL To covEp, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPEDATE ACCEPTED COMMENTS I I YES I NO DITCH ROUGH -IN / COVER SERVICE FINAL GENERAL COMMENTS: .PW -1102.1514196) Of/ORT,, CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DMSION 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 05 00001210 Date 12/14/05 740890 110 N LAUREL ST 06 30-00 0-0 1569 0000 MILLER SIGNS SIGNS CENTRAL BUSINESS DISTRICT 1700 Owner MARKLEY TTE DIANE L PO BOX 2835 PORT ANGELES WA 983620333 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date SIGN WALL MOUNTED ELEC 67181 47 00 12/14/05 6/12/06 Contractor MILLER SIGNS 30 CHILDERS LN SEQUIM (360) 683 6790 SIGN Plan Check Fee valuation Qty Unit Charge Per 1 00 47 0000 PER S SUPERGRAPHIC ALL Fee summary Charged Paid Credited Permit Fee Total 47 00 47 00 00 Plan Check Total 00 00 00 Grand Total 47 00 47 00 00 WA 98382 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. `f rrr— Signat6re of Contractor or, Authorized ent Date Signature of Owner (if owner is builder) Date T•\Policies\1102_15 building permit inspection record05.wpd [ 1/4/2005] 00 1700 Extension 47 00 C - Due rn v J 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 as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. `f rrr— Signat6re of Contractor or, Authorized ent Date Signature of Owner (if owner is builder) Date T•\Policies\1102_15 building permit inspection record05.wpd [ 1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COYER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS ! YES NO FOUNDATION - FOOTINGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS i 417-4807 PIERS ( I 417-4653 POST HOLES (POLE BLDGS.) 4174750 PLUMBING 417-4815 UNDER FLOOR / SLAB TAPolicies\1102_15 building permit inspection record05.wpd (1/4/2005] ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE FINAL BACK FLOW / WATER ( ' AIR SEAL WALLS CEILING FRAMING 1] JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR ( ' INSULATION SLAB ( WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP / FURNACE 1 DUCTS ' GAS LINE WOOD STOVE / PELLET { CHIMNEY FINAL COMMERCIAL HOOD/ DUCTS f MANUFACTURED HOMES I FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s I SEPA. PARKING/LIGHTING ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE I RESIDENTIAL DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT 417-4735 CONSTRUCTION R.W / PW/ ENGINEERING 417-4807 FIRE 417-4653 PLANNING DEPT 4174750 BUILDING 417-4815 TAPolicies\1102_15 building permit inspection record05.wpd (1/4/2005] DATE ACCEPTED BY. DATE ACCEPTED BY. DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW / ENGINEERING IFIRE DEPT I I+ PLANNING DEPT) 1 BUILDING Y i FOR OFFIC� USE ONLY BUILDING PERMIT - APPLICATION Date Rec, Is -1-1106 Permit#- a!j-Jvo Fill out COMPLETELY and in INK. Your application and site playa MUST BE Date Approved: COMPLETE to be accepted for review 1-fyou Have an - 1.1 , �j questions, call'. Date Issued. PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: 15� lu --T-V P-01 P -V- Phone -71-7 5- - Owner- Vvk;. r, L.. at ,e- I & 4-0. vt c9 l- Phone -Z0 Address (10 iu- C--Aur-A— c --T--7 City. (tea /4, (e _S, Zip Architect/Engineer- Phone Contractor IkAAec,- :5-t�1A.Q State License #- Exp Phone '2,-&--7 Address l1to ;.?t> City- Zip C3 k PROJECT ADDRESS L) , L. -+A0 aAc- ZONING LEGAL DESCRIPTION Lot: Block. Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. 13 Residential El New Constr rl Re -roof 0 Multi -family 0 Addition 0 Move El Commercial El Remodel r-1 Demolition 0 Repair WP BRIEF DESCRIPTION OF THE PROJECT SIZE DATION r -I Stove SF @s /SF = $ D Garage SF @$ /SF r"I Deck SF @ $ /SF 0 Other TOTAL VALUATION 7-- 1P C) N) -r 0 F -ell 0. (- r_> IK COMMERCLAL/RESH)ENTIAL. Occupancy Group- Occupant Load. Construct -ion Type: No of Stories. Lot Size. Existing Sq Ft. &Proposed Sq Ft. =TOTAL Sq Ft. Total lot coverage % PLANNING USE ONLY APPRONI S PLAN-/'� J0 "L� It BLDG A-7 l -e A A A 46=� A / DPWU FIRE ESA/Wetland(s)- El Yes U-Iq-o SEPA Checklist required? 0 Yes P -N -o Other- OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the tune the building permit application and construction plans are submitted. All other permit fees are due at the tune of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3.2 of the International Building/Residential Code, 2003) No application can be extended more than once / hereby certify that I have read and examined this application and know the same 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 ,not the City's, and that I must obtain such permits prior to work. T-\Po1icies\J3L 1102 13 wpd Applicant: �"' Date: t> - ")-d 57- PO) WASHINGTON, U S A COMMUNITY & ECONOMIC DEVELOPMENT DEPARTMENT Date December 7, 2005 To Sue Rober#t Jim Lierly Re Sign Permit located at 110 N Laurel St. Permit # 05-1210 Contractor- Miller Signs Please review the attached application for your approval Thanks Dave 1v(el 05"JA N r': SIGN IS 32"X48" ELECTRIC U/L APPROVED SIGN WILL BE MOUNTED WITH LAG BOLTS THRU CITY OF PORT ANGELE34�15�Fia&IRO l INSIDE CAN THREE GUIDE CABLES The Issuance of this permit based upon these plans, spewfi. FOR MORE SUPPORT cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. Approval Date (2 By J 0 WAIVER AND RELEASE FOR AND IN CONSIDERATION of permission from the City of Port Angeles for the right to on the property located at: f Dom_ The undersigned, for themselves, their heirs, successors and assigns, hereby waives, releases, and forever discharges any claims against the City of Port Angeles or its employees for personal injuries or damages ansing out of the entry onto the above referenced property for the purpose as set forth above. Dated this �� da of , 005 a STATE OF WASHINGTON ) ) ss. COUNTY OF CLALLAM ) On this L � day of /�� � 2005, before me, the dersigned, a Notary Public in and for th State of Washington, duly commissioned and swornersonally a* " to me known to be the individual described in and who execu�thregoing in. _ �ent, and acknowledged to me the (s)he srgned -and sealed the said instrument as hisAter free and voluntary act and deed for the uses and purposes therein mentioned. Given under my hand and official seal the day and year in this certificate first above written. �POBS SION fy",%�ON Vv�O� RAN o UB4 0 0 02 FBF" WAS\'\\ N:\P WKS\LIGHTNCONS\CATE\WAIVER.wpd NOTARY PUBLIC in an or the State Of Washington, residing at Port Angeles, Washington. mo� 02-- l 6 - 01 o Z (tvt CERTIFIsCF,,DCCUPANCY City of Port An" `f`11 w,j ion This certificate is issued,rsuant to the requirements'of Section 1'lOfof Elie 2006 International Building Code certifying that � th(.1.1 issuanceTthis structure was in compliance th the various ordinances of the City regulating buzldtngs A-0r„,use struc for the followzn Business name:Favorite M`” ,y ty , emory (Owner, Chis & l"essa-Jackson) i� i� ureSf °.�4,,f.. Business address 11x0 N_ .. La '" � Property owner: �}�t�� ia Dne fa � , Property owner's addhess=x PO Box 28;35`PortAn fINA983`62' 0333 tl� ,y geles:; Automatic fire sprinkle-" tem: 4 R,s, " rcantile ., ` Use & occupancy blassi'gation: Me Buildin ermit number-� gp�. 08-95.8`: Type of construction: V VA _ " ` "° Occupant load. Per I!B 02/05/09 zie ;obd ; inning a ager' Date Post on the premises in a conspicuous place. This•certificaxa e shaRm be removed except by the Building Official. 1 � mo� 02-- l 6 - 01 o Z (tvt PREPARED 8/19/08, 12:11:12 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/19/08 ------------------------------------------------------------------------------------------------ ADDRESS . : 110 N LAUREL ST SUBDIV: CONTRACTOR : PHONE OWNER MARKLEY, TTE DIANE L PHONE PARCEL 06-30-00-0-0-1569-0000- APPL NUMBER: 08-00000958 CO- CHANGE OF OCCP/USE ------------------------------------------------------------------------------------------------ PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS C099 01 8/19/08LL BLDG C/O FINAL * OVERRIDE TAKEN BY PBARTHOL DATE: 08/19/08 TIME: 09:29:03 TESSA 457-6091 ---------------------- --------------- COMMENTS AND NOTES Y CERTIFICATE OF OCCUPA14''(3-YAPPLICATION Permit #o8-9'SS + t CITY OF PORT ANGELES FEES _--�' Attn: Building Permit Technician $50.00 Certificate /Inspection 321 E. Fifth St., Port Angeles, VVA 98362 (360) 417-4815 fax (360) 417-4711 $100.00 Parking Business Improvement Area (PBIA) Print in ink 4_ fee charged for downtown locations BUSINESS NAME MA BUSINESS ADDRESSISS4((po�oning Business mailing address �jl� ` (JPhone # Opening date g( G) cs, Days & hours of operation N\W\M4 � f'Z(L'(y' )0 -kA — U { Washington State Tax I.D. # If known, list the name o eprevious 53 6vlo �1� business at this location ' _ Brief description of proposed business Business owner's name�,�r�S �= v � WAL&r,/► Phone #"SVu•L,C Business owner's home address PkQ(fS 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. NO,/ YES✓ IF YES, CONTACT WILL THERE BE ANY OF THE FOLLOWING? ACTION ✓ Building Div. at 417-4815 Electrical changes New business New or relocated signs V Construction changes Mechanical changes (ventilation, heating, cooling, etc.) Transfer of business Plumbing changes location from a PBIA location Fire sprinkler system changes Fire alarm system changes ( New or relocated sewer or water service Transfer of business Excavation or filling of lots location from a non-PBIA location Work done in the City right-of-way t/ New driveway openings Change of ownership Grading site drainage (parking lots, downspouts, etc.) I Landscape irrigation system (backflow devices) Remodel I Is this a home occupation? Is this a second-hand dealer or pawnbroker business? Temporary business Is there off-street parking for this business? Is the street in front of this business paved? Change of use Is there a sidewalk in front of this business? Is there a curb & gutter in front of this business? NO,/ YES✓ IF YES, CONTACT Call for Certificate of Occupancv inspections before openlnq 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 I have read this plica 'on and state that the information I have supplied is//?_correct to the best of my n ledge. l /� Date 9'b' b Print Name G 1 ✓� Signature For City use only: Department Approved Rejected Initials & date Initials & date Building 3- Fire KPD 1_30_ PBIA 9H V_A Planning S\, R_ 11-01 City Clerk &o O — 0—(A Public Works kv S- t'—(A T:Forms/Building Division/Certificate of Occupancy Application Comments / Conditions Type of construction Occupant Load Automatic fire sprinkler system required no yes .e, Electrical Dept. at 417-4735 Building Div. at 417-4815 V " V Public Works at 417-4807 ✓ Water Dept. at 417-4886 a✓ Planning Div. at 417-4750 t/ I City Clerk at 417-4634 Ip6lA How many spaces? I ✓ � I ✓ I Call for Certificate of Occupancv inspections before openlnq 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 I have read this plica 'on and state that the information I have supplied is//?_correct to the best of my n ledge. l /� Date 9'b' b Print Name G 1 ✓� Signature For City use only: Department Approved Rejected Initials & date Initials & date Building 3- Fire KPD 1_30_ PBIA 9H V_A Planning S\, R_ 11-01 City Clerk &o O — 0—(A Public Works kv S- t'—(A T:Forms/Building Division/Certificate of Occupancy Application Comments / Conditions Type of construction Occupant Load Automatic fire sprinkler system required no yes .e, CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 Application Number 05 00001210 Date 1/27/06 Application pin number 740890 Property Address 110 N LAUREL ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 1569 0000 Tenant nbr name MILLER SIGNS Application type description SIGNS Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 1700 Owner Contractor MARKLEY TTE DIANE L MILLER SIGNS PO BOX 2835 30 CHILDERS LN PORT ANGELES WA 983620333 SEQUIM WA 98382 (360) 683 6790 \ Permit, ELECTRICAL SIGN PERMITS Additional desc ANGELES/ 1ST SIGN Permit pin number 69815 Sub Contractor ANGELES ELECTRIC Permit Fee 36 40 Plan Check Fee 00 Issue Date 1/27/06 valuation 1700 Expiration Date 7/26/06 Qty Unit Charge Per Extension 1 00 36 4000 ECH EL COMM 1ST SIGN 36 40 Fee summary Charged Paid Credited Due Q Permit Fee Total 36 40 36 40 00 00 Plan Check Total 00 00 00 00 Grand Total 36 40 36 40 00 00 EXPIRED 7 - z4 - ©6 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINW M 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE IACCEPTED COMMENTS YES I NO DITCH ROUGH -IN / COVER SERVICE FINAL I I I GENERAL COMMENTS: M PW -1102,15(4" o�=WQ=1Z- ' CERTIFICATE OF OCCUPANCY ' City of Port.Angeles Building Division This Certification issued pursuant to the requirements of Section 301 of the International Building Code certifving that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use. For thefollowing- Use Classification: Business Building Permit No. 05-1096 BusinesssName. The Relax Station Group: B Type of Construction: V -N lik;' one: CA T 4", Owner of Business:�¢ Michaelleiiox. Address: 57 .1VIOT'SeLane. _ .P.ort Angeles. WA. 98362 Building Address: 110 N.,.Laurel `Street. Port Angeles. WA. 98362 January 24. 2006 Building Official _.•» Date 4 °ros, v Post on the p e' ises..in..�a -ctonspicuous place No. 77 Shall not be removed except by Building Official l ` -417 "OS C)q (o 4150— ROUTING SLIP pP l �ayi �06 �►� ReL-A Certificate of Occupancy ` � 50� 0 Certificate/Inspection Fee C WOP DATE � 17-,W `� New Business Address of Proposed Business Transfer of Business Location ( ) I I v /J L, A V f e— T-, Change of Ownership ( ) Applicant i IGAA!s i _New Building Q�_S( ) Address 4S M -r Remodel ( ) Temporary Business ( ) Phone business �kAol 3TD`2home Change of Use ( ) Brief description of proposed business AQ uA m A ---.,m ��9 rt�r izaf / tM tor -5S4 C y�Z Legal Description Lot Block Subdivision Current Use of Property- 1J'ors Zoning Classification of Property - WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED Construction changes X PERMITS BUSINESS LICENSE Electrical changes X 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 x 6) Sidewalk installation 6) Hotel Motel Admission charged to patrons K 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? — 11) Fire New driveway openings X 12) Occupancy A grading plan for site drainage 13) Sign (parking lots, downspouts, etc.) 14) Shoreline Are the existing streets paved? v —s— 15) Home occupation Are there existing sidewalks? —,� 16) Conditional use Is there curb and gutter? x 17) Other Other 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 IAP RO ED REJECTED /I /o OS SR n) a -J Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. &, L Date IN 'Zola <__ Signed / --'— Comments / Conditions r CERTIFIC E004CUPANCY City of Port Aogi lw,, Building, .-i-vision This Ce fficdtion issued pursuant to the requirements of Section 109 of the UntformT' ilding. Code.certifying. tot at the time of issuance this structure was a „� ,irk . . in compliance wit{i the wazious.ordindnces of the City:regulating ,wilding construction or' use. For the following g Use Classification: Rett. s 1_.Building Permit Nod e _ Business Name: Group: M Type.of Construction. Vhl..... 'Use Zone: CBD ,1. Owner of Business/Residence: CarofA. Blake Address: 473 South-Badev Creek.Rd, Port Angeles. WA. 98362 4 v Building Address: _ ,10 North Laurel Street r. Port Angeles: WA. 98362 50 R, 7.2003 P eKpremises.=inacons i. s plac e a Shall not be rem;cedezcep t byaBuilding Official 4 V C./�-'� � ' • CSV W ROUTING SLIP Certificate Occupancy's of $47 00 Certificate/Inspection Fee DATE �0 3 New Business Address of Proposed Business //0 & t-4A&r.&] the, C'a4js AeblO Transfer of Business Location ( ) Change of Ownership ( ) Applicant Can( P" iswC-e— New Building ( ) Ad ress _9*13 Std, �a� lOij Ckr�ec G, Remodel ( ) rbrr Amot ,es LU a L 433(02-- Temporary Business ( ) I q,51 Phone business home Change of Use ( ) Brief description of proposed business <jeo to T`E-C, 1 a f- `%",r Legal Description Lot 2 Block Subdivisions r Current Use of Property - Zoning Classification of Property - WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED Construction changes Electrical PERMITS BUSINESS LICENSE changes 1) Building 1) Taxi Mechanical (heating, cooling, stoves) X 2) Plumbing 2) Peddlers Plumbing changes X 3) Electrical 3) 2nd Hand Dealer New or relocated signs New X 4) Mechanical 4) Pawn Broker 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 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? 11) Fire New driveway openings 12) Occupancy A grading plan for 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- edge that I have read this application and state that the Date z !! information I have supplied is correct to the best of my knowledge Signed VPREJECTED Building Section Public Works Department Planning Department Fire Department City Clerk PBI.An 7 c-" Comments / Conditions CC' "k"PLA, ROUTING SLIP Certificate of Occupancy m Certificate/Inspection Fee DATE/'` . :�L New Business Address of Proposed Business Transfer of Business Location ` ^ v,.,- ( Change of Ownership ( ) Applicant !'7�%ice e_DIfW"I v-4UbJ'L New Building ( ) Address kc Remodel ( ) Temporary Business ( ) Phone business 30 N6:-'�-%let ome��- 719t1 Change of Use ( ) Brief description of proposed business s,e Legal Description Lot Current Use of Property* 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 <�_c ✓ Ye Ia4e P Yb le -,c fi . J Block y C 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 APP REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. Subdivision A -J 6 Ceske < T EF WING I REQUIRED PERMITS BUSINESS LICENSE 1) Buildi 1) Taxi 2) Plum ing 2) Peddlers 3) Electrical ) 2nd Hand Dealer 4) Mechanical4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installatio 6) Hotel Motel 7) Driveway installatio 7) Fireworks 8) Curb installation 8) Ambulance% 9 Sidewalk obs ti 9 Tattoos p, 10) Water meter nst la 1 Oth_ 11) Fire �� Y 12) Occupancy 6�D 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other Date ✓ ��� Signed -- Comments / Conditions 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 APPROVED REJECTED Building Section Public Works Department nGU Planning Department / Fire Department City Clerk PB I.A. Comments / Conditions 1 1 "T O,. 0' .� I, - ' d OPM LA ROUTING SLIP Certificate of Occupancy L $'47.00 Certificate/Inspection Fee DATE New Business ( ) Address of Proposed Business Transfer of Business Location ( ) / / � f L�'";+.a 1, e � Change of Ownership ( ) Applicant�m,/_t • j - New Building ( ) Address Remodel ( ) Temporary Business ( ) Phone business " home �J�'� Change of Use ( ) Brief description of proposed business --` . "' x'd Legal Description Lot J77. Block �� Subdivision /XvrJ 6 Cooke,, Current Use of Property - Zoning Classification of Property, CA 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) i 2) Plumbing 2) Peddlers Plumbing changes .f 3)w' 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? s ' 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? �' 11) Fire New driveway openings { 12) Occupancy A grading plan for 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- 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 Public Works Department nGU Planning Department / Fire Department City Clerk PB I.A. Comments / Conditions 1 1 "T O,. 0' CERTIFICATE---G--0_CCUPANCY City of Port Angeles Building Division Y This Certification issued pursuant to the requirements of Section109 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 w construction or use. For the following: ;` t Use Classification Retail Building Permit No: Business Name: Cat's Meow ' Group Mr Type of Construction. VN Use Zone. CBD r Owner of Business/Residence'. Carol A. Blake Address: 473 South Badev Creek Rd. P lrt Aneeles. WA. 98362 x`1.10 Building Address North Laurel Street Port Aneeles. A. 98362 � �„�_,.. ." 1 kr.-_�,��••� �-= ctober 7. 2003 ililingUfficial ',VNI �� -- Date the P premise0in: a-consp,i -nous place. Shall not be removed- a cepa by,,IfuiIding Official. p°RTq ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee DATF y� /D 3 New Business Address of Proposed Business A/� Transfer of Business Location ................ ( ) //0 A t_ait.r.�/`► l : �le- �a�s ebW Change of Ownership Applicant Can( p. is New New Buildin AdAress _�413 Sb, 13051,py Ckr_tr�c G # Remodel ................................. ( ) r b(cr NV\3 `" t Io A L %Z Temporary Business ....................... ( ) Phone: business home Y-572 13(e i Change of Use ............................ ( ) Brief description of proposed business: I ��► �)P i_CA�t +�++� Legal Description, Lot 2.0 Block Subdivision 7 F4 Current Use of Property: IRI—k-11 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 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. ip,REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk 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: 1X73 Signed: / Comments / Conditions ' 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 to compliance with the various ordinances of the City regulating Building constmetion or use For the following Use Classification Business Building Permit No 05-1096 Business~Name: The Relax Station Group B Type of Construction V -N Use Zone CA Ownei of Business Michael Lenox Address 57 Morse Lane :_. _-_ ._ .=_._Port Angeles, WA. 98362 Building Address 110 N. Laurel'Street. Port Angeles, WA. 98362 January 24, 2006 Building Official 4 Date Post on the-premises=in_a conspicuous place. No. 77 Shall not be removed except by Building Official. • . YES NO # 11 4-r_� - l oGi (o THE FOLLOWING WILL BE REQUIRED: Construction changes X150- ROUTING SLIP pP�-�► l �u✓t �°F' � }%iE ReL-AX 6 fiTv0� Certificate of Occupancy v� Budding 1) AV50.00 Certificate/Inspection Fee 4; 1 Mechanical (heating, cooling, stoves) DATE I'� !�/2©V 2) New Business ............................ ( ) Address of Proposed Business Plumbing changes— Transfer of Business Location .... .. ....... ( ) I 1 a ri & /a� o f (::- L 5 T', Change of Ownership ( ) Applicant M L.-_ _ Le_n New Building ............................ ( ) Address fs`? !A4QV Sr New septic tanks Remodel ...... ......................... ( ) 5) s 5) Temporary Business ....................... ( ) Phone: busine! 70 Zhome Change of Use ...... ................... ( ) Brief description of proposed business: &Q us mA-_n,_- / t ,l rter,iA[ M wssa C_ rL ..► t a.� ' i�P_ L l Legal Description: Lot Block Subdivision Current Use of Property: Pr',—C 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 _.a_ 1) Budding 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 X 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons 7) Driveway installation 7) Fireworks Is this a home occupations _� 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? 11) Fire New driveway openings X 12) Occupancy A grading plan for site drainage _X 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? .... x 17) Other 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. IAP RO ED REJECTED Il -Io-OS - Sr'. _YnD Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. &, 1 �%5 COQ Date: ell, IN r Signed: Comments / Conditions Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Application type description Subdivision Name Property Use . . . . . . . Property Zoning Application valuation . CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 05-00001210 Date 1/27/06 740890 110 N LAUREL ST 06 -30 -00 -0 -0 -1569 -0000 - MILLER SIGNS SIGNS CENTRAL BUSINESS DISTRICT 1700 Owner Contractor ------------------------ ------------------------ MARKLEY, TTE DIANE L MILLER SIGNS PO BOX 2835 30 CHILDERS LN PORT ANGELES WA 983620333 SEQUIM WA 98382 (360) 683-6790 ---------------------------------------------------------------------------- Permit ELECTRICAL SIGN PERMITS Additional desc ANGELES/ 1ST SIGN Permit pin number 69815 Sub Contractor ANGELES ELECTRIC Permit Fee 36 40 Plan Check Fee 00 Issue Date 1/27/06 Valuation . . . 1700 Expiration Date 7/26/06 Qty Unit Charge Per Extension 1 00 36 4000 ECH EL -COMM -1ST SIGN 36.40 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 36 40 36 40 .00 .00 Plan Check Total 00 00 .00 .00 Grand Total 36 40 36 40 .00 .00 EXPIRED i . zb -oG COMMENTS/ACTION NEEDED ti ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MRQMUM 24 HOUR NOTICE. IT IS UNLAWFUL To comp, INSULATE OR CONCEAL ANY WORK BEFOREITIS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE IACCEPTED COMMENTS YES I No DITCH ROUGH -IN / COVER SERVICE I FINAL I I I GENERAL COMMENTS; PW -1 1021514%] V CC' LA, ROUTING SLIP Certificate of Occupancy VOW Certificate/Inspection Fee DATE ��'� .` New Business ............................ ( ) Address of Proposed Business Transfer of Business Location ................ ( X ) I ✓.e Change of Ownership ...................... ( ) Applicant !Tf %Yv`p �,e°Yv��V� �Gt�,�C-- New Building Address Remodel ................ Temporary Business ........ ( ) ............... Phone: business 3� �57���ome� 71814 Change of Use ............................ ( ) Brief description of proposed business Y r U ,Ac Legal Description: Lot Current Use of Property: Zoning Classification of Property: ('o wt pt � ✓ t- re Ia 4e ,� P ra 1uc. fi e_ 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 of filling of lots Work done in City right-of-way .... Is there sufficient off-street parking? . .. . New driveway openings . ... A grading plan for site drainage ... (parking lots, downspouts, etc ) Are the existing streets paved? ... ... Are there existing sidewalks? Is there curb and gutter? ... .... Other .... Block L/ YES NO T I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. APP REJECTED v - Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. Subdivision A.J 6 cock -e-< E T EF WING 4REQUIRED: PERMITS BUSINESS LICENSE 1) Buildi 1) Taxi 2) Plum mg 2) Peddlers 3) Electrical ) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installatio 6) Hotel - Motel 7) Driveway installatio 7) Fireworks 8 Curb installation 8 Ambulance 9) Sidewalk obscti \� 9) Tattoos p� 10) Water meter n( st la V 1 Oth 1_ 11) Fire �I 1� Y 12) Occupancy 13) Sign 14) Shoreline �D 15) Home occupation 16) Conditional use 17) Other Date: �� ✓ '-'���� Signed: g -- Comments / Conditions Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date f information I have supplied is correct to the best of my F f knowledge. Signed: -J2 APPROVED REJECTED Building Section i Public Works Department / 1nGd Planning Department Fire Department City Clerk P. B.I.A. Comments / ConditionsQ-"r• . . i c 1OL -2)o() / U t aci''V, F'v`` - ROUTING SLIP Certificate of Occupancy�� $11 i@ Certificate/Inspection Fee ` " J' " I` DATE New Business Address of Proposed Business Transfer of Business Location ................ ( ) a I �111 1 d .1. ,; „� " Change of Ownership ..... ( ) r Applicant "'%' � New Building g ................ .. ......... ( ) Address //1.�� r_ :: �t Remodel ................................. ( ) Temporary Business ....................... ( ) Phone: business c E ' home ' ' ` �� '�' Change of Use ............................ ( ) Brief description of proposed business: ,.i , z -I ,� s' ,rr - Legal Description: Lot i Block �"� Subdivision/4-J 6 Cocke < Current Use of Property: Zoning Classification of Property. CA WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes PERMITS BUSINESS LICENSE Electrical changes 1) Budding 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 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) 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- edge that I have read this application and state that the Date f information I have supplied is correct to the best of my F f knowledge. Signed: -J2 APPROVED REJECTED Building Section i Public Works Department / 1nGd Planning Department Fire Department City Clerk P. B.I.A. Comments / ConditionsQ-"r• . . i c 1OL -2)o() / U Oa SLIP �,� Ce is e of of Occupancy $47.00 ert icate/Inspection Fee DATE __Y410 3 Address of Proposed Business ,A //O ti L,"v ii :11 t'' e. Ce,4 s /�reDt,J Applicant c0.YTii A, ilii AdAress LI? 3 5D, 19=1 Es Yat`t- A,"*Jjc . L,4JaL Yx3(o2 Phone: business 4I home Ys7—�fBI't l New Business .... ( ✓) Transfer of Business Location ................ ( ) Change of Ownership ...................... ( ) New Building ............................. ( ) Remodel ................ ............... ( ) Temporary Business ....................... ( ) Change of Use ............................ ( ) Brief description of proposed business: G I Pt- �Ip Legal Description: Lot Block Current Use of Property, 4C..r/ Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO Construction changes. .. ........ 1) Building Electrical changes ..... .... Taxi 2) Mechanical (heating, cooling, stoves) ..... 2) Peddlers Plumbing changes .. ..... Electrical 3) New or relocated signs ... . ... ........ .. 4) Mechanical New septic tanks ........ ...... .. Pawn Broker 5) New sewer service .. ..... ...... 5) Dance Admission charged to patrons .. . .... .. ... Sidewalk installation 6) Is this a home occupation? ........... ...... 7) Driveway installation Excavation of filling of lots .. ........ Work done in City right-of-way . ....... .. Fireworks 8) Is there sufficient off-street parking? .... ..... 8) X New driveway openings ....... . ....... Sidewalk obstruction 9) A grading plan for site drainage.. ...... 10) Water meter installation (parking lots, downspouts, etc.) .. ...... ..... Other 11) Are the existing streets paved? ... ... ... Are there existing sidewalks? ...... .. Occupancy Is there curb and gutter? ... .. 13) Sign Other................ ............... 14) to T" ('A.r r Subdivision 7'P« 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: A P OV REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A� '0\a 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 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: A P OV REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A� '0\a CERTIFIC TEw0E-`Q.QCCUPANCY �-*"�'City of Port AngelON. Building Division fir. This Ce tification issued pursuant to the requirements of Sectio 109 of the Uniform.Building Code certifying that at the time of issuance this sl ucture was in cpmpliance with the various ordinances of the City regulating lding construction or use. For the following: Use Classification Retall Building Permit No.: Business Name: Cat's Meow Group: M Type of Construction: VN Use Zone CBD Owner of Business/Residence. Carol A. Blake Address: 473 South Baelev Creek Rd. P rt Anaeles. WA. 98362 Building Address �110 North Laurel Street Port Aneeles. A. 98362 W4 " ctober 7. 2003 Date P t F ous place. Shall not be rft f3 pffuilding Official. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION v 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 03-00000526 Date 7/10/03 Property Address . . . . . . 110 N LAUREL ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -1569 -0000 - Tenant nbr, name . . . . . . THE CAT'S MEOW Application description . . . SIGNS Subdivision Name . . . . . . Property Zoning . . . . . . . Application valuation . . . . 2200 Owner Contractor MARKL1rY, TTE DIANE L JACKSON SIGNS PO BOX 2835 472 MOUNT PLEASENT RD PORT ANGELES WA 983620333 PORT ANGELES WA 98362 (360) 457-3703 ---------------------------------------------------------------------------- Permit . . . . . . SIGN Additional desc . . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . ' 7/10/03 Valuation . . . . 2200 Expiration Date . . 1/07/04 Qty Unit Charge Per Extension 1.00 30.0000 PER S- SIGN LES THAN 25 SF 30.00 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 30.00 30.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00 30.00 .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 as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. / Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T \PLANNING\F0RMS\1102.15 [4/20021 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. INSPECTION TYPE KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE ACCEPTED YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH -IN PLUMBING UNDERFLOOR/SLAB ROUGH -BV, WATER LINE GAS LINE I' BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL I` WALLS / ROOF / CEILING DRYWALL I` T -BAR INSULATION I` B WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD/DUCTS PW UTILITIES / SITE WORK (Engineenng Division) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION I` SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKING/LIGH CAPING TING ESA LAND I I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T \PLANNING\FORMS\l 102 15 [4/2002] COMMENTS DATE ACCEPTED YES NO 7/b3��1., l / CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date 7 ` ©~ d Time Received by ev" (phone, person) Location of Work to be inspected / l d Av 4XV,IJL- e t Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney INSPECTION NOTES - Inspected: Date Remarks: Phone No. Permit No Plumbing inal ewer Excay. Time By RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: . SURFACE TYPE: ❑ Unimproved ❑ Gravel ❑ Asphalt ❑ PCC ❑ Repaired by City Work Order # ❑ Repaired by Permittee ❑ COMPLETE ❑ No Damage Found ❑ INCOMPLETE Other JC ❑ Other (Continue on reverse side if necessary) STREET S1IPFRINTFNDFNT IDATFI t 4�1Ak FOR OFFICIAL USE ONLY: BUILDHNG PE .1 t re�rTut#•_ �'� twiil out COMPLETELY an ' e: INK— ar"r".w>taoa and .-te plan l:ET BE DateApApproved: COMPLETE to be accepted for review. If you have any questions, call Date (360) 417-815 Applicant or Agent: ME CA+t AVOW Phone: Owner: Vi LL Y'I-EOrMS - CA20t.. 8law-Phone: 4S7 -4f- 1 4f - Address: l 10 Ne. LA- V (W L. - City: poor x-1i'r�% 5 t p`W A Zip: C(��i 42.. -- P.=hitec+/V-r'iit-- Phone: one: its Contractor JAaV-S,ox-�y StA kj-.7 State License #J4, -4, c,2 p: 1 r, ? -02'r Phone: _�_`!- ?j7o3 . Address: 4-7-4 M -i'. 17L4545st-tjr imo City.t�64/L-r �v6�(�s i t,UA Zip: z PROJECT AD DRESS: 1110 A0. ('-Arttac t_.__ ZONING: CDC> LEGAL DESCR1 iiuN: Lot:-- -__ Block: Subdivision: CLALLA_RM COUNT1 Y PARCEL NUMBER: Credit Card bolder Naive: Billing Address: Cit- i• Credit CardType VISA NIC# - Exp. Date: TYPE OF WORK: S;�rVALUATION', 0 Residential ❑ New Constr. ❑ Re -roof D Stove SF. @ $ /SF. _ $ O Multi -family ❑ Addition O Move O Garage SF, @ $ /SF. = $ ❑ Commercial O Remodel O Demolition ❑ Deck SF. @ $ /SF. = $ Q Repair )W Sign D Other TOTAL VALUATION S 2Zoo , oa BRIEF DESCR7nON OF THE PROJECT: t .� ��' 'C>,O0bLV- n i O 1;6 -pd1-C� I Z 47 :DL•RX 4Z ot,,"6 t✓ - 141 2S Z Z01 o = So COMMERCIALIREESIIDEANTL&L: Occupancy Group: Occupant Load: Construction Type - No. of Stories: _ Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq.Ft. Existing Iot coverage % & Proposed lot coverage % = Total lot coverage % PLANNING USE ONLY: ESA�`n e s): ❑ Yes,;�No SEPA Checklist required? O Yes)(No Other: • lY 1 OL M k i� APPROVALS: PIGA_Rt:.�Q' BLDG: DPWU: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a pian check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within ii;0 days of the date of application, the application will expire. The Building Oficial can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that t have read and examined this application and know the same to be true and carred i am awfihonzed to apply for this permit and understand taint is my responsibility to determine what permits are required ,not ' ManthatZmust�obtain such permits prior to work. T.1FORiMS'iAPPgauiidingpesrmtt.wpd Applicant. Date: �' ��Y O 3 N12 ( c f/0- t-AWCL,!57� 4 X- --� i pov&,c 51orl) c) 08, DD cu§ Om S'10 n 11 -,ro� lackson's Sl8ns ° 472 Mount Pleasant Rd ? Port fln8cles. Wfi 360-457-3703 M ` L,961 bolt and Wooher Lag bolt ars Sher Lag bolt and Waoher P ur W l"r es +<3 2cu. k Th® Cats Meow 11. 0 Wo. Laurel St. Porgy' Arn(nlps. WA V�/a I I r� I CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Site Address: Inst ailed By: Owner/Business: �/✓7��-!�/_-�� ���{L}��� OwnerlBusmess Address: C Residential Heat KW C Baseboard ❑ Furnace/Boiler C Heatpump ❑ Other C Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) ❑ New Construction ❑ Remodel ❑ Service update/alter/repair X Addlalter circuits ❑ Auxiliary power (list below) ❑ Special equipment (list below) Dete,i Is/Description: e PERMIT Nn Ju6p DATE //- /Z-6 ❑ READY FOR INSPECTION License Number: ❑ Overhead ❑ Underground Voltage 010 ❑ 30 Service size ❑ Temporary ❑ WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. Amps W.S., No. Service Si7- nate Hold for: ❑ Easement ❑ Letter Capacity: ❑ O.K. ❑ Not O.K. Comments ❑ ditch inspection O.K. ❑ Signed up for servicelmeter ❑ Bough-inlcover O.K. ❑ Meter Department notified for installation ❑.K. to connect service ❑ Fire Department notified of inspection Final O.K. } ❑ Plan Review approved/pending Site lAddress. C//y/�^%rte IPermltlRe�tf o. 769 Insi[rller: � / r / � ` � New Meters I Date: 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 Inspec Writing on the Wiring Report or the Building Permit. PHONE 457.04111 EXT. 1�58or EXT. 224. Ic NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /�/ M AW .I Inspector Amount paid WHILE—file by address YELLOW—file by number PINK—Top: Eng, Bottom: Customer GREEN— Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS, INC. em, Job wired by )(Electrical Contractor Cl Owner ELECTRICALWORKPERMITAPPLICATION e 'I/Installation description Is-eCommercial O Residential E]ectr>6contract ��D License number Date Expires P`urrc.VeJJr'sling address _ A ry l/e'7 I��GdA'1 7.IP -roi al-" oIZtn J)JState �t 63-63 Telephone nitbe PAX number 31,E -)3 5a m 'Premises o net's na e Address of inspection I I � /V City P A Phone num her to schedul t specs n: r tR 37 � ill, f�1 ).2 hex Owner as defined by RCW19.28.261.(I) Owner will occupy the structure for two years after this electrical permit is futaliced (2) Owner is required to hire an electrical contractor if above said property Isfor sale, rent or lease. Aller reading the above statcmrnt, 1 hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instil- lation or alreraoon in compliance with the electrical laws, N.E.C, KCW. Chapter 19.38. WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. U New )(Altered/Addition cit/r, JJAJ60 ❑ Cash 0 Check # 6'yl- Pt Cl Crcdit Card Visa Mastercard Discover Card# ^--- r/Signat e(�f owner, electrical contractor or electrical administrator Expiration Date Date: Nof card Electrical Lo i_'tions and or sllhtr? u2m U NO LOAD CHANGES 0 Baseboard _KW U Furnace KW U Overhead Service U Heat Pump _ Ton _ LAR U Temp Service U Fan -Wall _KW U Underground Service SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 BOUGH -IN 1 THERMOSTAT C nate :lppewea a. J / Dam ADPw•cd ay J CMNAl. 1 � DITCH 130 o J !e PDYroVN BY Date APPraved Dy Inspection Date .. Aran, Building or Egttipment inspected Ing/ T Wd8 50 S007 6i '0a(l £SL9 ESV 092 : 'ON Xtdd Inspection too �S (. 1, 30 ,Service Information Voltage Phase U 1 U 3 Service Size: _ Feeder Size: _ SERVICE C n.m rppn,�day FEEDER C Dale nppm..d By � II Action Taken Electrical Inspector dMdNiNOJ lH3ldiD3'13 'S'd'd 1-24-296 9:05AM FROM ANGELES ELECTRIC INC 360 d52 9265 P.1 c' ELECTRICAL WORK PERMITAPPLICATION ' / vinstallat description \ Job wired by �ectrical Contractor 0 Owner ommerciaf 0 Residential Electrical contractor name License number Dale Expires' �, r✓r4jj�„ eS+ O New r Itered/Addition Purchasers mailing address _S/w, City ANGELES ELECTRIC, INC.state ZIP 524 EAST FIRST Tclephon,rM" lN(iti-tJ, YVA yt$ i0il.x number Premises owner,."�ame ,%CQ1�X 5TH-7"iDi/ Address of inspection Z-4141 � City j�r,9-. Phone number to schedule inspection, y /�iil ,4_ Slog-- 13 7 , Owner as defined by RCW 1918164(1) Owner mfi nreupy the strucrare for two yamts ¢/ter thu electrical permit is finalized. (2) Owner is rryvired In hire an e[ecrric¢[ contractor if above bund pruperty ib fi, w1e, raw m/Pace. 0 Cash 0 Cheek $ After reading the above statement. I hereby certify tbat I am die owner of the above named property or a licensed electrical contractor I am making the cicctriwl msral- redlt Card visa Mastercard Discover lahou or alteration in compliance with the electrical laws, N.E.C, RCW. Chapter ^' , 19.28, WAC. Chapter 296-46D, The City of Port Angeles Municipal Code. and Card $ Utilitv Specifications. /Signature of o tier, electrical contractor or electrical admin is ntor Expiration Date i Inspection Ice `X � sx j`?Fn�� Date: � Jo f card ($ :Y 1I,29-10C�•Qad Addillions a r or subtractions Service Information O NO LOAD CHANGES O Baseboard _ KW E P 1 E® PhaseVoltage3 O Furnace _KW �i��a°.,QQ�p,�` i ❑Overhead Service Phase ❑ 3 O Heat Pump _ Ton _ LAR O Temp Service Service Size:„— O Fan -Wall _KW O Underground Service Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 ANI 360-4174735 CROOGRA N 1 THERMOSTAT 1 nam nnnrevea xr o,rr npme.w or J FINAL 1 �e DT1Y H D.¢ AmYo+en xY J u m nnnwv u o lnspccGon Arca Building or Equipment inspected Date CSERVICE 1 n,t� npprevw xy J C 'R / Ani. nm�roru, Hy Action Taken Electrical lospccmr