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HomeMy WebLinkAbout108 S Lincoln St - Building o` PORT CITY OF PORT ANGELES 11� PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 10- 00001264 Date 11/12/10 Application pin number 190320 Property Address 108 S LINCOLN ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-1-3100-0000- on your state excise tax form Application type description PUBLIC WORKS UTILITES Y Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc RUP #10 -34 Sidewalk closure for roof tear off Owner Contractor MATTHEW AND KARI BAILEY EARTH TECH CONSTRUCTION 512 W 10TH ST 505 FRESHWATER BAY RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 565 -1280 (360) 670 -8811 Permit RIGHT OF WAY Additional desc CLOSURE FOR RE -ROOF FACADE Permit pin number 176438 Permit Fee 75.00 Plan Check Fee .00 Issue Date 11/12/10 Valuation 0 Expiration Date 5/11/11 Qty Unit Charge Per Extension 1.00 75.0000 ECH RIGHT OF WAY PERMIT 75.00 Special Notes and Comments O Applicant to provide and utilize signs and barricades /cones appropriate for sidewalk closure. No materials to enter City storm drain. Permit valid for two complete sidewalk closures between 9 AM and 4 PM on non holiday weekdays. Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 n S V Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or cons .cti authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days -er th= work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I ereby -rtify t :t I have read and examined this application and know the same to be true and correct. All provisions of laws and ordi ances g•verni g this type of work will be complied with whether specified herein or not. The granting of a permit does not presume t authors to violate or cancel the •rovis;,ons of any state or local law regulating construction or the performance of constructio U ign.. ure of Cont or' ed Ag_ t m ate Signature of Owner (if owner is builder) Date T:APolicies \1102. [10/08] PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. PW/ CONSTRUCTION R.W. ENGINEERING 417 -4831 PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING T: \Policies \I102.15 [10 /08] CITY OF PORT ANGELES riagNt DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET. PORT ANGELES, WA 98362 Application Number 10- 00001129 Date 11/02/10 Application pin number 769483 Property Address 108 S LINCOLN ST ASSESSOR PARCEL NUMBER: 06-30-00-5-1- 3100 -0000- Tenant nbr, name MATTHEW AND KARI BAILEY REPORT SALES TAX Application type description RE -ROOF Subdivision Name on your state excise tax form Property Use to the City of Port Angeles Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 10809 (Location Code 0502) Application desc TEAR OFF RE -ROOF Owner Contractor MATTHEW AND KARI BAILEY EARTH TECH CONSTRUCTION 512 W 10TH ST 505 FRESHWATER BAY RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 565 -1280 (360) 670 -8811 Structure Information 000 000 RE -ROOF Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF RE -ROOF Permit pin number 174797 Permit Fee 221.75 Plan Check Fee .00 Issue Date 11/02/10 Valuation 10809 Expiration Date 5 /01 /11 Qty Unit Charge Per Extension BASE FEE 95.75 9.00 14.0000 THOU BL- 2001 -25K (14 PER K) 126.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 221.75 221.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 226.25 226.25 .00 .00 Find 03rI tk.1?-" 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 any state or local law regulating construction or the performance of construction. if- Z- 116Ovi Plea Date Print Name Signat of Contractororuthorized Agent Signature of Owner (if owner is builder) T: Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD O PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 1 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. PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: OQ Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling v Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by V MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW I Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 3 LI JA '1 T:Forms /Building Division /Building Permit H N H H W W 0 g H l� ro 0 H o C H N ro N N CO H L O N r a N E N O O U m M M ro N a .c W X H F a H 2 Z k to 0 W 5 O x O m H u 0 (0 a s o G 0 h N O) r cM ,J M Q z C o O a H H H O (1) H H F F rd m CI) U U 2 N W N F W W W H m Z a w o o W CO 0 O 2O N N H H rL H U a C 0 0 F 2 M O i U a CL V H H UI 1.1 a H F w ro as .00 N ci [401.10 z 0 $4u V) 0.-0.o i 0 0 W a a aai o 0 E a o 0 H H H H H 0 a m a I ci) H o a a M 0 m o 0 zz 0 (0 0 H0 U 2 1 U a `n om Z a 0 (0 a E •0 r7 cn00 W W N rst 0 (F O Cq (0 W 2 o r.� o o w a �r c Q H W 0 0 H O 0 r Ma a a oau a z0 w m o W in u �a 41 4. E-■ Q a2 F 0 o wN a W 0.] m 41F. Q 2 2 2 a a a m 0,0 H UU 0 Q a F W PROJECT STATUS UPDATE Permit 6 —1(7M Date: —Z -10 y phoned the: Applicant at Property Owner at 6 g He, asp +o cau Contractor O, Soh (rTe-h) at RZg— 1037 of c-- 411 S o (left a phone message, or discussed): e&V e_ m� S ®n 5/i I� 1 G The permit has expired, •r will expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. V2 FRA S0,// 3 3 l (A)f) fr1L- Conn P 1-e� -e read n s/� an y r T:Fonns /Building Division/Project Status Update CITY OF PA y 3606708811 earthtrch 1 @hotmail.com May 16, 2011 To whom it may concern, Earth tech const. Is requesting an extension on the roofing permit (permit #10 -1129 108 s.Lincoln st.) due to weather delay and scheduling differences is the reason for such a long delay in the construction process. ETC is scheduled to start on the roof this week, 5/18/11. ETC. would appreciate your approval in this matter. Thanks for your time and patience. Sincerely EARTH TECH CONST. RECEIVED MAY 162011 C B UILDIIN DIVISION ANGELES 5 1 1 0/ 11 1&//- 0 7 f er VIA eX V e)11 6%9-4 -.Aiy(DU,5k 11-1(3'" Linda Pangrle From: Linda Pangrle Sent: Friday, May 13, 2011 10:41 AM To: 'earthtechl @hotmail.com' Subject: Re -roof Permit Extension Request Letter Information Hi Jason, I'm e- mailing you because your office phone number was in "fax" mode, not message machine mode. Per our phone conversation, please write a letter requesting a 6 -month extension on permit #10 -1129 for the re -roof at 108 S. Lincoln St. State why you need the extension, and when you think you'll be done with the re -roof. Sign date it and include your phone number. Thanks, Linda 1 0;,°Rra4 r BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES -Attn: Buildin Permit Technician For City Use Only: 1t �- g Date Received ‘Q-5- ID 321 E. Fifth St., Port Angeles, WA 98362 Permit 1 0 l?A (360) 417-4815 fax (360) 417-4711 Date Approved Applicant J e Phone (e 8E31 Property Owner 444 n Phone Property Owner's Address /o g 5, L, I c /J/ Contractor s 6-e577 Phone o f Contractor's Address 605 ,te ,ep License CI Z Expires Zd y E- mail s -72 ho L ,caal PROJECT ADDRESS (O e S. L,'hGO I Iv Parcel Number O(,30 00 51 31 0 Lot Zoning 4 Project Type Brief Description: Residential Multi- family Is,commercial Industrial Check all that apply New Construction Addition Remodel Repair s\ Demolition Lev- c cue -roof House garage Kother .Lear<off re -roof lay over one layer Heat System Heat pump wood- burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. l Floor UMW 2 2 Floor 3 Floor W Garage Carport V Covered Porch A Deck Shed Other Qa� q TOTAL VALUATION 10 1 O0 Total footprint of structures sq. ft. T Lot si e sq. ft. Lot coverage Site Coverage the amount o e-rvious surface on a parcel, in luding ructures, paved driveways, sidewalks, patios, and other impervious surfaces. s ee PAMC 17.94.135 for exemp 'ons) Site coverage Max. height of proposed stru• ure- ft. Occupancy roup of bedrooms Will a lawn sprinkler syste se inst: Iled? Occupant •a' of full baths Will a fire sprinkler syste be installed? Construe ion t se of half baths I have read and completed this application and know it to be true and correct. t 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 worki on projects. Date /0 5 --2.016 Print Name j11 114e( ,ems° Signature T: Forms /Building Division /Building permit application EARTH TECH CONSTRUCTION PROPOSAL Date Estimate E -mail 8/23/2010 113 earthtechl@hotmail.com Name Address MATTBAILEY /BAILEY SIGNS 108 S. LINCOLN ST PORT ANGELES WA. 98362 Description Qty Total TAKE OFF ALL METAL AROUND BUILDING, TO BE REPLACED AFTER ALL. WORK 22 1,870.00T IS COMPLETE W /NEW. TEAR OFF ALL OLD TORCH DOWN ON BIGGER BUILDING AND PREP ROOF DECK TO ACCOMMODATE NEW BASE SHEET. INSTALL MALARKEY MODIFIED BASE SHEET USING 1 CAP NAILS TO FASTEN TO ROOF DECK INSTALL CANT STRIP IN AREAS THAT APPLY. ADDITIONAL LAYERS WILL BE BILLED $50.00 PER LAYER) INSTALL 22 SQ. OF POLYFLEX TORCHDOWN AND REPLACE ALL SCUPPERS 22 3,850.00T AND PIPE BOOTS W /LEADS. PRIME ANY METAL THAT MAY NEED IT FOR ADHESION. MATERIALS: ROOF FLASHING FOR BIGGER BUILDING 190' (ALL CUSTOM 5,089.00 BENT METAL) TORCHDOWN, BASE SHEET, FASTENERS, PIPE BOOTS, PROPANE. 2ND SMALLER BUILDING IS 16 SQ. AND WILL REQUIRE TEAR OFF AND 0.00T REPLACE OF ENTIRE FLAT ROOF SURFACE. ALL. VERBIAGE IS THE SAME AS FIRST BUILDING AND ADDITIONAL LA YERS APPLY, AND THE METAL WILL BE TAKEN OFF TO MATCH EXISTING WITH AN OVERCHARGE DUE TO CUSTOM BEND ON N.SIDE OF BUILDING. ALL FLASHINGSAND LEADS WILL BE REPLACED. TEAR OFF PRICE 1360, INSTALL PRICE2800... COMBINED PRICE W /METAL APPROX.4660.00 CLEAN UP AND HAUL AWAY ALL_ RELATED DEBRIS 475.00T call w /any? (cell 670 8811) o Sales Tax (1.4 /o) $520.38 this estimate is good for 30 days. and reqiures half down, bal. upon completion. sign and date to accept. Total $11,804.38 Phone Fax 521, 30 3606708811 3609281037 75.a0 Lic# ARTHTC937DZ Clallam County Assessor Treasurer Property Details 61561 MATTHEW AND KAR... Page 1 of 7 Clallam County Assessor Treasurer Property Search Results 61561 MATTHEW AND KARI BAILEY for Year 2010 2011 Property Account Property ID: 61561 Legal Description: SMITH, NORMAN R LT1 EXC N75 BL 31 Geographic ID: 0630005131000000 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 d, Township: Section: Range: 5( Location Address: 110 S LINCOLN ST Mapsco: 1) PORT ANGELES, WA 98362 n� Neighborhood: Cycle 5 Comm Map ID: 2 N Neighborhood CD: 20953140 Owner Name: MATTHEW AND KARI BAILEY Owner ID: 12128 Mailing Address: 512 W 10TH ST Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: Taxes and Assessment Details I Property Tax Information as of 10/05/2010 Amount Due if Paid on: E. NOTE: If you plan to submit payment on a future date, make sure you enter the click RECALCULATE to obtain the correct total amount due. First I Second l I Half I Half i Base (Base I j Year Statement ID Taxing Jurisdiction l Amt. "Amt. Penalty Interest Base Paid p 2010 44264 ST SCH STATE SCHOOL $187.10 $187.09 $0.00 $0.00 $187.10 2010 44264 CC-GEN COUNTY $99.56 $99.58 $0.00 $0.00 $99.56 2010 44264 PORT PORT $14.00 $13.99 $0.00 $0.00 $14.00 i 2010 44264 PORT ANG PORT ANGELES $230.53 $230.52 $0.00 $0.00 $230.53 P- i 2010 44264 mmYV SD #121 SCHOOL DISTRICT #121 $242.34 $242.34 $0.00 $0.00 $242.34 2010 44264 NTH OLY LIB NORTH OLYMPIC LIBRARY $28.93 $28.93 $0.00 $0.00 $28.93 2010 44264 HOSP #2 HOSPITAL #2 $40.84 $40.85 $0.00 $0.00 $40.84 2010 44264 WSMET PK DIST WILLIAM SHORE MET PARK DIST $13.00 $12.99 $0.00 $0.00 $13.00 1 2010 44264 CITY STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $36.00 2010 44264 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.82 L 2010 44264 TOTAL: $893.12 $893.10 $0.00 $0.00 $893.12 2009 615612008 ST SCH STATE SCHOOL $218 35 $218 34 $0 00 $0.00 $436.69 12009 615612008 CC -GEN COUNTY $110.50 $110.51 $0.00 $0.00 $22101 12009 615612008 PORT PORT $15.65 $15.65 $0.00 $0.00 $31.30 r 2009 615612008 PORT ANG PORT ANGELES $242.38 $242.37 $0.00 $0.00 $484.75 12009 615612008 SD #121 SCHOOL DISTRICT #121 $270.02 $270.02 $0.00 $0.00 $540.04 I http: /vpn.clallam. net: 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =61... 10/5/2010 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION J 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 10- 00001364 Date 3/10/11 Application pin number 703896 Property Address 108 S LINCOLN ST ASSESSOR PARCEL NUMBER: 06-30-00-5-1- 3100 -0000- Tenant nbr, name BAILEY SIGNS REPORT SALES TAX Application type description COMM REMODEL Subdivision Name a on your state excise tax form Property Use to the of Port Property Zoning CENTRAL BUSINESS DISTRICT the, City Angeles Application valuation 7000 (Location Code 0502) Application desc TEAR DOWN REBUILD EXISTING PARAPET WALLS Owner Contractor MATTHEW AND KARI BAILEY EARTH TECH CONSTRUCTION 512 W 10TH ST 505 FRESHWATER BAY RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 565 -1280 (360) 670 -8811 Structure Information 000 000 REBUILD EXISTING PARAPET WALLS Construction Type UNKNOWN Occupancy Type BUSINESS:OFF /PRO /MED /REST Permit BUILDING PERMIT COMMERCIAL Additional desc REBUILD EXISTING PARAPET WALLS Permit pin number 177741 Permit Fee 165.75 Plan Check Fee 107.74 Issue Date 3/10/11 Valuation 7000 Expiration Date 9/06/11 Qty Unit Charge Per Extension BASE FEE 95.75 5.00 14.0000 THOU BL- 2001 -25K (14 PER K) 70.00 Other Fees STATE SURCHARGE 4.50 0 (kW\ Fee summary Charged Paid Credited Due Permit Fee Total 165.75 165.75 .00 .00 111 Plan Check Total 107.74 107.74 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 277.99 277.99 .00 .00 9, 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 provision of any state or local law regulating construction or the performance of construction. 3- /o Zo f c sQyr li re cam�� Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls O Ceiling FRAMING: 3 L L- Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling l Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In o Gas Line Wood Stove Pellet Chimney 5 Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting 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 73 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 16- 11 T:Forms /Building Division /Building Permit H W W U' F a q 0 H m CO N CO H O In ko Li) r 0 0 0 0 0 00 l0 J� M r rti A W CL H H W W 0n W 0 0 a 0 H a a 0 F H q o x H o 0 co, 00 z CO H aw IA E 0 w rpm H ZOO H N O 0 H H 0-0 0 -io 0 a a 0 W 0 G N H F W 101 a a .0 G Z OWOq E0 Eh 0 H m o o w w a ro ro F H O E 0 0 050. U CO a F a o H Z a 0 0 0 0 Z cou 0 0 0 U w o z 0 a H c7 w a i► 0 00 Z O Z a O 1-1100 00 co a F 3 0 o W W O H q 0 cnwxxoo )00 H H W E. F MO RIFF H 0z 0 owa a ar .1010100. 0 010 N N Or Ma [x cx U10 0 w a w a a Z w ra ao 03 a g F d o w F O Z Z Z O O z a 0 W 0 F O UO WK G F (0 NH H V) H m m a ww a c5F --4 44 •a Z W F F W Z a a 4 H O m a ,op H CON x W CO H ai F x H F 0 +n f a r ,o tn 4 F nom C a N al H H 0 040-1 ,c ti H al ,o io U O i M M ro al F W a m a A F 4 W R' n H O1 H x a H W W 0 O Z w f O a w 00 W 0 F u w )o a H b m a s 0 H N HO o U a Z H 0 0 Z M N H H E 01=4 W H HO m m H d' O I HP F H C m U U Z -4H F H4 F a a �1 0 ,--1 1 0 0)Z w MM z 0 0 0 0 H N r O N H a ■W X H H U H U 1.O .4 S+ Z 0 0 m O Cl N H 0) Z 0 U a H F W W HZ z W O u o 0000040401 0000 w w w a m ro al 4 N< 5 w u<041 a E 1 0Z w£ h£ w m h w 4 a 0 M M Z w F M z o O rU am O O Z U 01.4. 0 H W a 4 1/ c uoxzmio z a h4 b z H U 1 i M H M H m W O H 9 m a F 0 0 W W 1 O 0 0 a 1041000 W W H H H H W .FE -FM0 MPH HH H HO W H F M W .444 ,Do owa aw 0) m4 H m W O H 000. N N H H OX F W O mm m ma a 0 Oa(' 0 0)0 •w a PI zo m w 0 W W m U H H a0 01 F4 4 E 0 0 0 a a Fw u a H m W F W z z z a a a M m Z 41 w0340+ a a a0 4FU0a4 a F m w :).VORT.4.,r BUILDING PERMIT APPLICATION Print in ink .14 1 CITY OF PORT ANGELES fi For City Use Only: Rte.. Attn: Building Permit Technician Date Received I(�15 -lc w qrSOF 321 E. Fifth St., Port Angeles, WA 98362 Permit (360) 417 -4815 fax (360) 417 -4711 {ate Approved Applicant e" r}/ cc A 6)4S 9— Phon �/I 4'7o 9,9; i Property Owner 14y ,A je./ Phone 1/47 z‘096 Property Owner's Address Contractor C;a447- Phone £e7v 90/, Contractor's Address SoSfr s!-i ww- e xy /20 License ei�, -rc 9 3 7 4z Expires Zm E -mail eL741,.?y,-rec.41 /eD g;,4:1, L PROJECT ADDRESS iog S. 6 iv�i.�r sr. b oj I e S i 9 nS Parcel Number 06 3 U 00`5( 3 (OD Lot Zoning Project Type Brief Description: Residential Multi family %Commercial Industrial Check all that apply New Construction -7.4q.4 /.,wA/ Cx ,'s r,-, 1,17-p..T (,,9- /l5 /9711.E L., 1 p Addition Remodel �l e(40.3 pi Repair per Phone. call J Sfk S CAA rrc k T-d- The wall unsace. Demolition per (e,ctoinCg it u .)itl be, ir.hu t (-I- ,94-ran e.v,_ Re -roof House garage other t off re -roof lay over one layer Heat System Heat pump wood- burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1S1 Floor 2nd Floor 3 Floor W Garage V Carport TIMF Covered Porch M. Deck Shed Other TOTAL VALUATION 7 000 Total footprint of structures sq. ft. T Lot size sq. ft. o overage Site Coverage the amount of im ious surface on a parcel, includ structures, paved drive ys, sidewalks, patios, and other impervious surfaces. e PAMC 17.94.135 for exemp ns) Sit coverage Max. height of proposed structures ice ft. Occupan y oup o edr oms Will a lawn sprinkler system be installed? Occupant ad of f baths Will a fire sprinkler system be installed? Constr ti n type o a f baths I have read and completed this application and know it to be true and correct. I am authorized to apply f• this permit and understand that it is my responsibility to determine hat permits are required, and to obtain permits prior to workii on projects. Date //-47-/o Print Name ,4Sai4 `L(e Signature 4 T:Forms /Building Division /Building permit application c 1 NOTES Permit 16— 1364 II-1g Lb J u P c aoe-s V-td i! e.t,c 71'Y1is. I/ /s to Luirt0 Des, /o0 N (le f.re nt,sy6& 'v T:Forms /Building Division/Notes A r t b:y ti i v t 3 l i 6) t. I f e In `s a;Y OF PORT At°�C*ERrS Co 5crw +Gdiny f"la+rss.... Issuance t this permit base on those plans, spe r?- `ons and other data sh 'prevent the building official fro r, thereafter- 'q ring the`. correction of errors in •said s. pla.is so ",cations and other data, or from preventing of :ring operations being carried on thereunder when in r 5' violation of ail codes 'and ordinances of this jurisdiction. Approval Date 2- lib By J L. w .,.47 �f�� 1I M CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official Jrom thereafter requiring the correction of errors in said PORT ANGELES FIRE DEPARTMEN tans, specifications and other data, or from preventing building operctions being carried on thereunder when in PLAN REVIEW violation of all codes and ordinances of this jurisdiction. (SECTION 303(c) Uni orm B ildin: Code.) Project Name Upside /Anime Door Address 108 and 112 S Lincoln Plan 04 -20 Com Residential n Date 12.20.2004 We have checked this plan and find that it conforms to the requirements of our codes and ordinances, with the following comments 3) All exits must be clearly marked. Reviewed by Building Department Copy Contractor/ Owner Copy Fire Department Copy Date 12 Zb Shy The intent of this opening between the two occupancies is to provide a second means of egress for the Upside Coffee House In order for this opening to meet the criteria of a second exit, the following conditions apply 1) The door in the opening between the occupancies must not have a lock or latch unless it is panic hardware, and it must swing in the direction of exit travel. 2) The exit door leading from the Amine occupancy must not have a lock or latch unless it is pamc hardware and it must swing in the direction of exit travel. 4) An emergency exit illumination device with battery back -up must be provided that clearly illuminates the exit path in the event of power outage 5) The exit path through the Amme occupancy must be kept clear at all times. +4 i1 NOTE Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. PORT,µ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 04 00001155 Date 12/17/04 Pin number 678100 Property Address 108 S LINCOLN ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 3100 0000 Application description COMM REMODEL Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 1000 Owner Contractor BAILEY MATTHEW /KARI BLUE MOUNTAIN BUILDERS TILE 512 W 10TH ST 2802 WOODCOCK ROAD PORT ANGELES WA 98362 SEQUIM (360) 565 1280 SEQUIM WA 98382 (683) 2733 Structure Information CONNECTING DOOR BETWEEN BUILDINGS Construction Type TYPE V ONE HOUR Occupancy Type BUSINESS OFF /PRO /MED /REST Other struct info NUMBER OF UNITS 2 00 Permit BUILDING PERMIT COMMERCIAL Additional desc Permit Fee 62 25 Plan Check Fee 40 46 Issue Date 12/17/04 Valuation 1000 Expiration Date 6/16/05 Qty Unit Charge Per Extension BASE FEE 47 00 5 00 3 0500 HND BL -501 2K (3 05 PER C) 15 25 Special Notes and Comments Fire Department comments listed seperately and attached The Planning division has no requirements for this plan review Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid Credited STATE SURCHARGE 4 50 Due 62 25 62 25 00 00 40 46 40 46 00 00 4 50 4 50 00 00 107 21 107 21 00 00 10 Separate Permits are required forelectrical 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 fora period of 180 days after the work as commenced, or if required inspections have riot been requested within 180 days from the last inspection. I hereby certify that 1 have read and examined this application and know the same to true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether s +ecified herei t. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state local law r ating construction or the performance of construction. 2 7J Signature of Contractor or Authorized Agent Date /S'• nature offer (if owne\is builder) Date T•\PLANNING\FORMS \1102.15 [11/14/2003] V CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN I 1 I PLUMBING UNDER FLOOR SLAB I 1 ROUGH -IN I I I WATER LINE (METER TO BLDG) I I I GAS LINE I I I 1 BACK FLOW WATER I I AIR SEAL WALLS I 1 I 1 CEILING I I FRAMING JOISTS GIRDERS I I I SHEAR WALL/HOLD DOWNS I 1 I WALLS ROOF CEILING 14 1 L I DRYWALL (INTERIOR BRACED PANEL ONLY) I 1 I T -BAR 1 1 I INSULATION SLAB I I I WALL FLOOR CEILING 1 1 I MECHANICAL HEAT PUMP I I I GAS LINE I I I WOOD STOVE PELLET CHIMNEY I I I HOOD DUCTS 1 1 PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s PAR1UNG/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT FIRE 417 -4653 PLANNING DEPT. 417 -4750 BUILDING 417 -4815 T-\PLANNING\FORMS \1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD ACCEPTED YES I NO I I 1 I 1 1 1 1 1 1 1 I 1 1 I SEPA. ESA. SHORELINE. COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ CONSTRUCTION RW ENGINEERING 417 -4807 PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING 1 1 1 I.9 WIOI/ h I I- PREPARED 2/03/05 11 56 32 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/03/05 ADDRESS 108 S LINCOLN ST SUBDIV CONTRACTOR BLUE MOUNTAIN BUILDERS TILE PHONE (683) 2733 OWNER BAILEY MATTHEW /KARI PHONE (360) 565 1280 PARCEL 06 30 00 5 1 3100 0000 APPL NUMBER 04 00001155 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 2/0 L BUILDING FRAMING TIME 17 00 door way framing COMMENTS AND NOTES Applicant or Agent: 3 {}-F- t E1 Phone. 36O L ib Z 6 5 l5 Owner Su evuz. i L Phone Ste- vvL-( Address 1/1 5' t-' .4 G 1 Stit P. Zip 5' 1 16 2 Architect/Engineer vi d V L to AS's 0 C-' e- S Phone 1 -i 7-- .S Z Contractor tt/, /►rl of g 1 f ir S State License #311/t ril 'vi 197/6p Phone Residential Multi- family 'commercial PLANNING USE ONLY Fill out COMPLETELY and in INK. Your application and site plan MUST P COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Address. PROJECT ADDRESS 5 a- v LEGAL DESCRIPTION Lot: CLALLAM COUNTY PARCEL NUMBER. Credit Card Holder Name: Billing Address: Credit Card Type VISA MC TYPE OF WORK. New Constr Addition Remodel Repair BUILDING PERMIT APPLICATION Re -roof Move Demolition City• pis c b 'Y .L Block: Subdivision. City Stove Garage Deck Sign Other 1)04e' BRIEF DESCRIPTION OF THE PROJECT Cr h- A Gt /o-tA c 531,-.5 COMMERCIAL/RESIDENTIAL. Occupancy Group No. of Stones: Lot Size: Existing Sq. Ft. Total lot coverage ESA/Wetland(s). Yes No SEPA Checklist required? Yes No Other. T•\RVESS\BLDG- forms- brochures\2003- Buildingpermit.wpd Applicant. SIZE/VALUATION SF SF /SF SF /SF TOTAL VALUATION wk o:`fy✓ ",e_ v+ Occupant Load: Proposed Sq. Ft. FOR OFFICIAL USE ONLY Date Rec../ 0 Permit Date Approved. Date Issued. Zip ZONING Pew4,11 w 4.1 Exp. Date: /SF /DOO_ Construction Type: TOTAL Sq. Ft. APPROVALS PLAN BLDG DPWU FIRE. 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 plan 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 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 R105.3.2 of the International Building/Residential Code, 2003) No application can be extended more than once. I hereby certify that 1 have read and examined this application and know the same to be true and correct authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, an hat I mu: obtain such permits prior to work. i Date: /z cb1-1— 20 i[ I I 41 1 sregZ-- 1..--(av f 9 ,e• 476 vP A F k 03 000 ef-1 (j/67 1 -6 C /t zJz 64 1 2 4 C Ter a 237xyL- 2.2).6z,0 c)( e I 2/1 oc 1 1 L A) r s 1-2'7_4'4 1(311.1 0e0-24_04_i.. S Ici2 p 7 rLF 2 1/2 "0 M.B. d EACH END i9- N. T.S. 3'-6" MAX NEW OPENING ELEVATION EXPIRES. 8/12/0 L„1 .r I i E5 X 3-1/2 X 1/4 N .-EACH SIDE OF WALL, "`f- 1 I 9' MIN. i E 1 STEEL TO BE A -36 2. HOLES TO BE BOLT DIA. PLUS 1/16" 3. TEMP SHORING DURING CONSTRUCTION TO BE RESPONSIBILITY OF CONTRACTOR 5 X 3 -1/2 X 1/4 ANGLE J� f 0 0 ,10 —Ys "t SECTION NOT TO SCALE EXIST DBL. BRICK WALL 2 1/2 "0 M.B. EACH END 5 X 3 -1/2 X 1/4 ANGLE ANGLE TO BE SET IN MORTER LINE SCALE. TITLE. DOORWAY BTWN. TWO EXIST BRICK WALLS LINCOLN STREET PORT ANGELES, WA SHEET N. T S. DATE. DECEMBER 2004 JOB NO: CUENT LIENT MATT BAILEY 112 S. LINCOLN ST UNIT "A" PORT ANGELES, WA 98362 PLANS DETAILS E NOV I C PORT ANGELES. Y WA 9�2 22 ASSOCIATES PHONE. 3600) 7 -0501 41 INCORPORATED EMAIL. ZENOVICOZENOVIC.NET OF 1 This certificate IS issue certifying that at the t~ p regulating bUildlng/Ct f Business name: Business address . Property owner. . ~, Property owner's &,d Automatic fire spri\ Use & occupancy cl" Building permit num ' Type of construction. Occupant load. 12-19-08 Date Post on the premises in a conspicuous place. ThIs not be removed except by the Building Official. '+~. (f\~ -,..- o ~ rJ) \2---Z~og I -'" ? g - <:- ~ 1 ~ 0"A ; , ~ CERTIFICA TE OF OCCUPANCY APPLICA TION Permit # 08- "hlJ$ Pnnt In Ink FEES Certificate / Inspection Parking Business Improvement Area (PBIA) fee charged for downtown locations Zoning Phone # $ 0 - '117- 2 ( Business owner's name M (It- Business owner's home address Phone # , t 0 j1.. s.t PLEASE NOTE: A Business License IS also required for the following businesses TaxI, Peddlers, Second-hand dealer, Pawn broker, Dance, Hotel- Motel, Fireworks, Ambulance, Tattoo shop Contact the City Clerk at 417-4634 for additional information ACTION ./ New business Transfer of business location from a 1- PBIA location Transfer of business location from a non-PBIA location Change of ownership Remodel Temporary business Change of use Will THERE BE ANY OF,~JHE FOllQWING? NO/" YES/" IF YES, CONTACT Electncal changes j- ,-- Electncal Dept at 417-4735 New or relocated signs iJlVV"Yvi':+- l.N'i l( 10..(. ,- BUilding DIvISion at 417-4815 ConstructJon chanoes v Olo~~ If- vu.e.. ( l- O,/" " Mechanical chanqes (heatlnq, coollnq, stoves) -- " Plumbing changes ,,- " Fire spnnkler system changes -' " Fire alarm system changes ,/'" " Is thIs a home occupatIon? --- Plannlnq DIvISion at 417-4750 Second-hand dealer or pawn broker? --- City Clerk at 417-4634 New or relocated sewer or water service ,,- Public Works at 417-4807 Excavation or filling of lots ,-- " Work done In the City nght-of-way ./ " New dnvewav openlnQs - " Grading site drainage (parking lots, downspouts, etc ) ,/'" " Landscape Irnoatlon system (backflow deVices) ../" Water Dept at 417-4886 Off-street parklnq .- EXIsting streets paved /' EXisting SIdewalks ./ Curb and gutter ,/" Call for Certificate of Occupancv inspections before openinq business: But/ding Department Inspection 417-4815 & Fire Department InspectIOn 417-4653 Please proVide a minimum 24-haur notice for inspections I hereby apply for a CeI1Jficate of Occupancy I aCknowledge that I have read thiS applica supplied I correct to the best of my knowledge Pnnt Name JAiN * "6' 0- ~ ( ~ Slgnatur Department BUilding Fire PBIA Planning City Clerk Public Works Please sign up for utility services at the cashier counter. nd state that the informatIOn I have Rejected Initials & date Type of construction Occupant Load Automatic fire spnnkler system reqUired no yes J T Forms/Building DlvlslonlCertlficate of Occupancy Application -Q, 1~-l ROUTING SLIP ?c:.t.~cl Certificate of Occupancy $47.00 Certificate/Inspection Fee ~ 0'-1- 9\'5 DATE /6 Address of Proposed E?uslness lot :;- bill (,)~ S4_ Applicant fl1(ir'r 6ft iU 'r Address :;-/2 v-I, i d ~ New Business .................. ......... Transfer of Business location. . .. ........... Change of Ownership . . . . . . . . . . . . . . .. .. New BUilding .. . Remodel. . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . Temporary Business " . ... ........ ..... Change of Use. . . .. ...................... f/L 57- P A Phone: business N/4 I homir-r 2- ~ L r 1 'f /tJfFp" i-I c7/..t " --/ Brief descnptlon of proposed business: L. ~ I La\.. * o .-C. \ .-0 ( y-) ( ) ( ) ( ) ( ) ( ) ( ) 0\ legal Descnptlon: lot Block Subdivision Current Use of Property: 413'0 Zoning Classification of Property: Will THERE BE ANY OF THE FOllOWING? YES THE FOllOWING Will BE REQUIRED: Construction changes . PERMITS BUSINESS LICENSE Electrical changes 1) BUilding 1) TaxI - Mechanical (heating, cooling, stoves) 2) Plumbing 2) Peddlers 0 Plumbing changes 3) Electrical 3) 2nd Hand Dealer \:fl New or relocated signs 4) Mechanical 4) Pawn Broker New septic tanks 5) Sewer 5) Dance VI New sewer service L- 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons )( 7) Driveway Installation 7) Fireworks c:- Is thiS a home occupation? ---y- 8) Curb installation 8) Ambulance Excavation of filling of lots -,< 9) Sidewalk obstruction 9) Tattoo shop :5 -- S Work done In City right-of-way -~ 10) Water meter Installation 10) Other Is there sufficient off-street parking? ')< ~ .--- 11) Fire :5 New driveway openings ~- 12) Occupancy -- A grading plan for site drainage ')C 13) Sign VI -- (parking lots, downspouts, etc) -~ 14) Shoreline Are the eXisting streets paved? ~- 15) Home occupation Are there eXisting sidewalks? 1-_ 16) Conditional use Is there curb and gutter? ~- 17) Other Other -- I hereby apply for a Cer Icate of Occupancy and acknowl- edge that I have rea thiS application and state that the Date' information I have pplled is correct to the best of my knowledge. Slgne Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. 6u1- of bvs\ V\e.s~ prt'orto ~/?~ !oCo __~P~DG:'~;;h!~ (-- 1<", n" v,( \ ~ I ,. -X II>> iiLA'i"~ ~~ \ , CERTIFICATE OF OCCUPANCY City ofPortAngeles~ Building Division Use ClassIfication This Certification lssued pursuant to the requIrements of Section 301 of the InternatlOnal Building Code certifYing that at the time of Issuance tHIs structure was in compliance with the various ordinances of the City regulating Buildmg .. construction or use. For the following' Business B~U;ld:: ~~~t~o ~t~~~ _~~~'t;~1f ~' ::}i < ',1 ,h ,.' ',f,;. ;'t,>' ,,-~ ',: Owner of Busmess J eanette Headfi~kson . ... -- --' ~'n.T'-';""'" Type of,Construction. ~'_ CBD , , \ ~', " Address T08-S:r;incohi'St::;..,,,,,,, BUlldmg Address 108 S. Lincoln St. Port Angeles, W A. 98363 \-'~'}l' <~ June 20, 2006 .. ;f~-~~~~~~'~~J~~~(:~~'~H~~~~~~ " Date Post on the 0P erii'i~~~,~~,D;a.:con'spicuous place. . Shall not be rem'oved except by Building Official. I ~Cb-Z~1 ~Il~ ROUTING SLIP ~rtificate of Occupancy ~ Certificate/Inspection Fee DATE c- '3 ,~ 7 ... 0 G Brief description of proposed business: legal Description' lot Block Current Use of Property: p.J3:rlt I L Zoning Classification of Property: ('0111 ttV1-f7KZ<11 Jt L Will THERE BE ANY OF THE FOllOWING? Construction changes Electrrcal 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 rrght-of-way Is there sufficient off-street parking? New drrveway 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 Date: information I have supplied is correct to the best of my knowledge. Signed: Ar~p~~ REJECTED ~4 Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. LI- t/ -ex. / YR.. A- ~-(5v New Business. . . . . . . . . . . . . . . . . . . . . . . .. .. Transfer of Business location . . . . . . . . . . . . . . . Change of Ownership ..................... New Building ............................ Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business. . . . . . . . . . . . . . . . . . . . . . . Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . ,<;/0 IL E Subdivision THE FOllOWING Will BE REQUIRED: PERMITS 1) BUilding 2) Plumbing 3) Electrrcal 4) Mechanical 5) Sewer 6) Sidewalk Installation 7) Drrveway Installation 8) Curb Installation 9) Sidewalk obstruction 10) Water meter Installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BUSINESS LICENSE 1) TaxI 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other Comment vf ) ) ) ) ) . Use ClassificatIon CERTI FICAT-E$"'O'F-:'OC,CU P ANCY ".;tf)~' ~ - ...."~~ ilfJ" City of Port Angeles ,i)~:i Building Division l~1 ~Ifl This Ctr,~rification issued pursuant to the requirements of Secti~'1t~}Ol of the Internatiorf.~l Building Code certifying that at the time of issuance thi~::structure was in co/npliance with the various ordinances of the City regulating B.,uilding J construction or use. For the following: :\ "j Coff~~ Shop BUilding Permit No 04 - 915 Business Name Tl!e Upside \~l :'cI Type of ConstructIOn V -N Use Zone 111j CBD . , , B ullding Address Address' 512 West 10th Street. Group A-2 Owner of Business - - -. "--T - ---- '"' l~t, .\ ROUTING SLIP ?~~CJ Certificate of Occupancy $47.00 Certificate/Inspection Fee *04-9\5 l,t r~-\D~ 10 b DATE Address of Proposed E}usiness 16t ~- Vr"/t (dh1. ~4 ~ Applicant fl1ft7r GiT iU r Address ')/2;""/, I 4 ~ fA - 57.. P A Phone' business N/4 I homeLf5t~ l r-~'f Bnef description of proposed business: [IJ-Ff'u ~~ legal Description: lot Current Use of Property: Zoning Classification of Property: Block .eEl) WILL THERE BE ANY OF THE FOLLOWING? YES NO V - ---')r- -- '>< -- -X- -~ -~ -~ ~ - --y- -- ')< -- -$- ~~ ~. -- )C -- _--L ~- ~- '>C _ 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 1-~1-t!J6-- 0,,)- New Business ............................ Transfer of Business location. . . . . . . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . . . . . . . New Building ......... . . . . . . . . . . . . . . . . . . . . Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business . . . . . . . . . . . . . . . . . . . . . . . Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . Subdivision THE FOllOWING Will BE REQUIRED: PERMITS 1) BUilding 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk Installation 7) Driveway Installation 8) Curb Installation 9) Sidewalk obstruction 10) Water meter Installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BUSINESS LICENSE 1) TaxI 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other I 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. Signe A::I~~Y~~/REJECTED ~tIl{I- Building Section Public Works Department Planning Department Fire Department City Clerk P.B I.A J'H -oy -.11- j(tJ(J / 0-0 -()~/- /60 Comments / Conditions ( ~) ( ) ( ) ( ) ( ) ( ) ( ) \ 1h -l It f5'\ De- \ TING SLIP 70<.:0 Certi' te of Occupancy $47,00 Certificate/Inspection Fee .-- * 04- <1',:::, i -;1./ -C}/;)- - O~- DATE / tJ Address of Proposed E}usiness /65 s;. [il1 (cI ~ (;/1_ Applicant fl1fF7't bfr iur Address f:)! 2- v...I < {t'~ Phone' business NJ4 I home'r".r 2- - 2. ," '1 't New Business ,.....' ... ...,., . Transfer of BUSiness location ...... Change of Ownership ., ........ .... .... New BUilding . .................. .. Remodel. ....... . . . . . ., ...... Temporary BUSiness ..... . . . . ., ... Change of Use. . . . . . . . . . .. .. ( V) ( ) ( ) ( ) ( ) ( ) ( ) fA - ST- P A Brief deSCription of proposed bUSiness. C.'lJffu f{c/!4. ~ legal DeSCription: lot Block SubdiVision Current Use of Property' -eBl:> Zoning ClaSSification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes v: PERMITS BUSINESS LICENSE --"'-y:- """- Electncal changes. -- 1) BUilding 1) TaXI \1 Mechanical (heating, cooling, stoves) ")oC 2) Plumbing 2) Peddlers -- Plumbing changes _ ..k- 3) Electncal 3) 2nd Hand Dealer ~ New or relocated Signs _ .Y-- 4) Mechanical 4) Pawn Broker New septic tanks -~ 5) Sewer 5) Dance New sewer service _L-- 6) Sidewalk installation 6) Hotel - Motel ~. AdmiSSion charged to patrons )< 7) Dnveway Installation 7) Fireworks Is thiS a home occupation? --y 8) Curb Installation 8) Ambulance - -y:- Excavation of filling of lots -- 9) Sidewalk obstruction 9) Tattoo shop '}- Work done In City nght-of-way _1- 10) Water meter Installation 10) Other "- ;S Is there suffiCient off-street parking? ')< - 11 ) Fire (' New dnveway openings -.,c: 12) Occupancy Q - --v- - A grading plan for site drainage -- 13) Sign S' (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? )C _ 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. APPROVEr'l/REJECTED ~r1if . Comments / Conditions BUilding Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. . :.~;.':+= C E RTI FICAT~-O'F "~OC_CU P ANCY ,4f>d},;F City of Port Angel~~'J~-<>.~, ;! B .ld. n... ,~ d'l UI lng IVISlon '1,~.. to'? '\:.~. This Ce/~fication issued pursuant to the requirements of sect;~~~Ol of the Internatior[XI Building 'Code certifying that at the time of issuance thls;pructure was in cl!fnpliance with the various ordinances of the City regulating 'B,uilding } constructIOn or use. For the following: ~l d 1 Use ClassificatIOn Coffee Shop BUilding PenUlt No 04 - 915 BUSiness Name, The Upside Group A-2 Owner of BUSiness Budding Address - ------T' "~ " 1~, 't. d Matt ~ailey -" {.~ r.1 108 Sou'th Lincoln Street. , , V-N Use Zone i,~ CBD j;',1 iN 512 West 10th Street. Port Angeles ,W A 98362 ~;/ III" Port Angeld{ W A 98362 Type of Constructlon Address' ~~~ ~f.i t~~~~~~~~~' t~:1i~J3l~~f.!.~J~~~, ~~,?V~~:"~;~~:~;.~11'~~: ji~~,:~:~_.!(t~}y h ::J~ o ()"h" , '>~;~ t"C'::;t/,1J::~I" ,'., 'l:c'!.""j,O""'NIarcn ~211t20b5 . "i~~i '~:?ff.3\i~,I,~~;f~;;;,~~,~;~:::~;;~~~~~;t~;L~--~-:;~~,;~'f~;: ',~:1j'Date ~I '" 'UI,' 1,1' It1"....,,~1".I...\1' 'H\'(j''''," "{"_,n~l~'~~jr','1~.ffi,P iff:,\\'A~ ""I;,.MV ~ ' '-- '" '\ 1..1.. e,l'", I 'e" "." ,_ '........ >, 0"" , 'Ii. O~ 1'\' ~7'V"j .... P on"the~'pi~'rri,se:~"tin'f~-~~'ql1s'picuous place. " ,,.;"... -.,1, _ "'1- <'I ' ~_' . "J.", rtr-' '........-.... " Shall not be remQved'.excepfby"B'uilding Official. --".r-t..-k.:;1.t?it~~~~~..- .i~~~.."""~ :;.~~-:+= ~ ~~ . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO ~ -:?'g' /0 DATE Q-:;JS--9 ~ ELECTRICAL PERMIT Sitl'3 Address: J () g s L/lIId-'o/A/ . . D READY FOR INSPECTION License Number: }!J WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business Address: s,. Phone: Owner/Busin Sq. Ft. D RESIDENTIAL D COMMERCIAL D BASEBOARD KW _ D FURNACE KW _ D FAN/WALL KW _ D HEAT PUMP KW D SIGN D TEMPORARY SERVICE D PERMANENT SERVICE D NEW CONSTRUCTION D REMODEL D ADD/ALTER CIRCUITS D SERVICE UPGRADE/REPAIR D SPECIAL EQUIPMENT (LIST BELOW) II k'- -lSlJ - /.J/V T/lJlG.e<lI' D OVERHEAD SERVICE D UNDERGROUND SERVICE VOLTAGE: D SINGLE PHASE D THREE PHASE SERVICE SIZE AMPS Details/Description: r ~1'1.,> , 'f'~x9f . W.S. No. SERVICE SIZE CAPACITY: D O.K. NOT O.K. ACTION REQUIRED: D CHANGE TRANSFORMER D INSTALL SERVICE POLE DATE ENGR. D CHANGE SERVICE WIRE D OTHER D Ditch Inspection O.K. D Rough-in/cover O.K. D O.K. to connect service ~Final O.K. Si1e Address: Install . Permit/Receipt No. . Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on eitherthe Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. ~ NOOCGUPANCY QA USE ESTABLISHED UNDER THIS PERMlr $ 8t,."() ~<S-:OO Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept" Bottom: City Hall OLYMPIC PRINTERS INC. .. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO f1-(1 DATE I 2-. g / g 7 Installed By: o READY FOR INSPECTION Site Address: Phone: Sq, Ft. ---. C Residential Heat KW -..g...Baaeboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/lndustrial load ~dd/alter circuits Totai Connected load 0 Auxiliary power , (attach breakdown) (iist below) Total Motor load ~Speclal equipment (attach breakdown) (iist below) r ,,--/ . Details/Description: 1 ~ ~lfll.--z..A-- t.-{ 'I.. w .D (;rV~ ~,./ ~ f ,') J <fA"J~ &- I/J cM~r-' I LLJ 1-1. (1.k3~j~p~ yO o New Construction o Remodel o Service update/alter/repair o Overhead o Undergro~d h Voltage. 1 ~ ~0 030 Service size o Temporary Amps . <:::~ .->G\ ?;; Tl J &. ~-JYU2? , W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. o Rough-in/cover O.K. o O.K. to connect service ~Final O.K. ~\ Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Insfaller: ~ ~J Site Address: '. 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, EXT.158 or EXT. 224. , NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 1/' 0 t%# Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall . OLYMP'IC PFlINTlORS, INC. ~ 03 1- (, FEE RECEIPT NUMBER , CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLlCATION.AND ELECTRICAL PERMIT A 0001.2L PERMIT NUMBER . ,I JI,-~ ~ u-€.<v L ~ I C!-oNfM,tl'(cl j} t- .. . TOTAL FEE _"2.2",.>j I~ CONT. LIe. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT . +1. ~ Site Address '. Q-fJelt Y t... CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT Ow~er 'i? ),.,';f,IJ.f~ A LL-e-./"-," .. Owner'sAddress' '( I j' ;Sc;. L ,,,IC L Dill PERMITS WITH WRONG ADDRESSES ARE CANCELLED Installation By /-7LLE# ,;EL"~T.e/~ Installers Address ;;to/?, KD"- ," '7&, Seq'){U.>d Installers Phone /eo?.3 --',' Ii".;/ 0 tv rr? e <Il wi L. ~ r l'i:f C.'<'TS ..p Day-Phone Application is hereby made for Permit to install Electrical Equipment as follows: fle,4/ ,q.LSo S;C/Y" Wiring Method r-: 1'111 .~ NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PER 100A FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT I Z[) ~ SIGN I ")" t..--- 'l-b, () 0 LIGHT -. 50 VOLTS OR lESS CONVE;NIENCE- B 2.V L~ MOTOR CONVENIENCE MOTOR APPLIANCE. MOTOR DISH~ASHER I "70 ~ FIREALARMS - DISPOSAL BURGLAR ALARM RANGE MISC. , OVEN11r WATE'A"HEATER LAUN'DRY DRYE~ .... REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS---OIL FURNACE . ENERGY FEE ELECTRIC' ~ " - !; /(I.th L BASIC FEE ELECTRIC I:iEAT. :2- -'iO ---- n TOTAL FEE St.. J2$'- ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT PHASE AMP FEEDER SIZE OF SERVICE ENTRANCE CON.DUCTORS n SERVICE A.W.G. I SUB. tOTAL </-0,00 SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that ihe work to be performed .~nder this permit will be do~e by the installer and in confor';'ance wte N.E.C. .Electrical Code. Date Application made ~ '7 A~ tY ,19 G"/ By ~.. . ONTRACTOR OR OWNER {OR AUTH IZED AGENT} P~{l]1ission i~ hereby. given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.,' ......... '\, ';-:'. \, ' , IRECTOR OF CITY LIGHT WARNING Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be cover~9 or current turned on before inspection and O.K. for covering or service. has been given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457.0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THEWORK - SEE OVER - . Date Permit Issued /( 11~ r~ ~\ WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PRINTERS, INC. , REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS . . //-10-(f'f flu O.K. FOR COVERING O.K. TO CONNECT SERVICE 7J -1.1- r l.f /}f~J FINAL O.K. . I . z c:I II: cl: ::E ~ J: I- Z W l- . I- o Z o C .