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HomeMy WebLinkAbout114 N Lincoln St - BuildingPREPARED 2/01/11 8 45 39 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/01/11 ADDRESS 114 N LINCOLN ST SUBDIV TENANT NBR TJ FLOORING /WESTSIDE PIZZ CONTRACTOR EMERALD ROOFING INC PHONE (360) 452 4681 OWNER JOHN W REHLEN PHONE PARCEL 06 30 00 5 1 1601 2001 APPL NUMBER 10 00000844 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 2/01/11 L BLDG FINAL January 31 2011 9 22 27 AM 1pangrle TRAVIS 460 4471 BUILDING FINAL RE ROOFED TJ FLOORING WESTSIDE PIZZA COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 10700 Application desc TEAR OFF RE ROOF THE COMMERCIAL BUILDING Owner Contractor JOHN W REHLEN PO BOX 385 CASTLETON CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Structure Information Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date T:Forms /Building Division /Building Permit EMERALD ROOFING INC P 0 BOX 879 PORT ANGELES (360) 452 4681 000 000 RE ROOF VT 05735 BUILDING PERMIT RE ROOF 171231 221 75 8/11/10 2/07/11 10 00000844 Date 8/11/10 692024 114 N LINCOLN ST 06 30 00 5 1 1601 2001 TJ FLOORING /WESTSIDE PIZZ RE ROOF NO PR FEE Qty Unit Charge Per BASE FEE 9 00 14 0000 THOU BL -2001 25K (14 PER K) Other Fees Fee summary Charged Paid Credited Permit Fee Total 221 75 221 75 00 Plan Check Total 00 00 00 Other Fee Total 4 50 4 50 00 Grand Total 226 25 226 25 00 WA 98362 Plan Check Fee 00 Valuation 10700 Due Extension 95 75 126 00 STATE SURCHARGE 4 50 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. F--((-10 /4 Cal Date Print Name Signature gf'Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking Lighting Landscaping T Forms /Building Division /Building Permit Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date Accepted by SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By c' l —o1 -41 �L� BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 For City Use Only Date Received $"11.- Io Permit* k(5 $�4 Date Approved Phone 7/ Property Owner IRRJ Phone Property Owner's Address pa e,Ox (3$ 5 A c-i-1 VT S '7350 Phone q52 E -mail PROJECT ADDRESS II 14 A) z-((vea.,A) 4 'T PS1 too rt _:f Sde. P 4 Lot Zoning Parcel Number Project Type Brief Description. Residential Multi family KCommercial Industrial Check all that apply New Construction Addition Remodel Repair Demolition *:Re -roof House garage other ¢(tear off re -roof lay over one layer Heat System Heat pump wood- burning stove gas fireplace pellet stove other Other Floor Areas Existing (sg. ft.) Proposed (1g. ft.) Basement per sq ft. 1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 1(J, -7490- 1 Total footprint of structures sq ft. T Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures, paved driveways, sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type T Forms /Building Division /Building permit application Signature of bedrooms *of full baths of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to workincyefyprojects. Date 1 1' Print Nam e° 1 -tkv1 S Clallam County Assessor Treasurer Property Details 61400 JOHN W REHLEN for Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 61400 JOHN W REHLEN for Year 2010 2011 Property Account Property ID Multi- Family Redevelopment: N Township Range. Location Taxes and Assessment Due Property Tax Information as of 08/11/2010 Amount Due if Paid on. E. 61400 Legal Description. SMITH, NORMAN R 1/3 IN LT 1 BL 16 Section. Geographic ID 0630005116011000 Agent Code Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 58 Open Space: N DFL N Historic Property* N Remodel Property N Address. 136 E FRONT ST Mapsco PORT ANGELES WA Neighborhood: Cycle 5 Comm Map ID* 2 Neighborhood CD: 20953140 Owner Name. JOHN W REHLEN Owner ID 48139 Mailing Address. PO BOX 385 Ownership 100 0000000000% CASTLETON VT 57350 Exemptions. 1 First Half I Second Half i Year Statement ID Taxing Jurisdiction mm Base Due `Base Due Penalty Int I Base 2010 44115 ST SCH STATE SCHOOL $114 65 $114 65 $0 00 $0 00 $11 2010 44115 CC -GEN COUNTY $6100 $61 03 $0 00 $0 00 $E 2010 44115 PORT PORT "8 $8 57 $0 00 $0 00 OR 9 2010 44115 PT ANG PORT ANGELES $141.28 $141.25 $0 00 $0 00_ $14 '2010 44115 SD #121 SCHOOL DISTRICT #121 $148 50 $148.50 $0 00 $0 00 $14 2010 44115 NTH OLY LIB NORTH OLYMPIC L IBRARY $17 73 $17 73 $000 $0 00 $1 2010 44115 HOSP #2 HOSPITAL #2 $25 03 $25 03 $0 00 �$0 00 $e i 2010 44115 WSMET PK DIST WILLIAM SHORE MET PARK DIST $7 96 $7 97 $0 00 $0 00 2010 44115 CITY STORMWATER CITY STORMWATER $20 93 $20 93 $0 00 $0 00 TJ $2 2010 44115 WEED CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 9 i 2010 44115 TOTAL. $546.48 $546.47 $0.00 $0.00 $54 1 2009 614002008 ST SCH STATE SCHOOL $133.80 $133 79 $0 00 $0 00 $2E 2009 614002008 CC -GEN COUNTY $67 72 $67 70 $0 00 $0 00 $1 2009 614002008 PORT PORT $9 59 $9 59 $0 00 $0_00 $1 2009 614002008 PORT ANG PORT ANGELES $148 52 $148 53 $0 00 $0 00 $2f 2009 614002008 SD #121 SCHOOL DISTRICT #121 $165 46 $165 47 $0 00 $0 00 $3Z 2009 614002008 NTH OLY LIB NORTH OLYMPIC LIBRARY $19 67 $19 68 $0 00 $0 00�� $Z 2009 614002008 HOSP #2 HOSPITAL #2 $27 77 $27 77 $0 00 $0 00 $E http. /vpn. clallam. net: 8084 /propertyaccess /Property. aspx ?cid =0 &year= 2010 &prop_id =61 8/11/2010 N 3 C� -X Lill L L"-Ib C4.' A2A -JLS (f) Fp71.@, i(e f e Dunf L °5. 1` L- 57( 950 IkALl, Me 1-7 _3O 33D 1 120 150 e- _ISO 42_ LIZ 6 This certificate is issue certifying that at the t regulating building c Business name Business address Property owner Property owner s Automatic fire spri Use occupancy c Building permit num Type of construction. Occupant load. P y of Port An e$es usiuuant requirements of Section 110 of the 200o w 11W '3y9i4';''•'a f'lMM 4rre of °issuance t Oc'sli was in conzpl'iance with the v a t�'ke ,5,9,,"�', n r 1#�*� r,.. r: '.a;<rc'SY ca..._ structaon;o 'or he own '"ti TJ; Iwring (Own wTf om`as '1 NO/Lincoln' St =s� A j Louis C Refl :e' fiu:"'r rl?ss c/o John 1N iewstem Per IiB* ss f cam on. Mercanti le, CERT Post on the premises in a conspicuous place. This ager UPANCY ision International Building Code ious ordinances of the City VT 05735 05 -27 -09 Date a 1 not be removed except by the Building Official. ee( 5 5 t PREPARED 5/07/09 8 17 30 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/07/09 ADDRESS 114 N LINCOLN ST SUBDIV TENANT NBR TJ S FLOORING CONTRACTOR PHONE OWNER LOUIS C REHLEN TRUST PHONE PARCEL 06 30 00 5 1 1601 2001 APPL NUMBER 09 00000407 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 5/07/09 BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 05/06/09 TIME 16 51 33 May 6 2009 4 50 04 PM 1pangrle THOMAS 670 5188 C OF 0 FINAL TJ S FLOORING AFTERNOON COMMENTS AND NOTES New business 1 For City use only Department Building Fire PBIA Planning City Clerk Public Works Print in ink ACTION Transfer of business location from a PBIA location Transfer of business location from a non -PBIA location Change of ownership Remodel Temporary business Change of use T.Forms /Bwldi .g 91 ision /Cer FIG to Occupancy Applicator CERTIFICATE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Attn Building Permit Technician $50,00 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 $10000 1 Approved Initials date Rejected Initials date BUSINESS NAME l/,� /dvG BUSINESS ADDRESS j,/ J //V 4,__ ©�f r i l r �z Zoning C D Business mailing address G l ,5 ,24 Phone #360 d 7S /.f ,F_ Opening date Days hours of operation 7 pH/� Washington State Tax I D 4 If known list the name of the previous 7 business at this location 4/ S "s, r /442, R,1_ Brief description of proposed business pp/ Alp l Business owner's name 77 7 ,/-1 7 ,7 s s, Phone a' /7,. a t 1 1 Business owner's home address Q/ 3 C /,le1r 7/ YZUrr /6 Xliv1p /L? r f��� Oe-3E 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. WILL THERE BE ANY OF THE FOLLOWING? Electrical changes de New or relocated signs' Zj p R Construction changes Mechanical changes (ventilation, heating, cooling, etc.) Plumbing changes Fire sprinkler system changes Fire alarm system changes New or relocated sewer or water service Excavation or filling of lots Work done in the City right -of -way New driveway openings Grading site drainage (parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Is this a home occupation? Is this a second -hand dealer or pawnbroker business? Is there off- street parking for this business? Is the street in front of this business paved? Is there a sidewalk in front of this business? Is there a curb gutter in front of this business? aIi! syl�Pai/ Signature NOS, YES/ r/ i7 1/ d I I I 611' r Call for Certificate of Occupancy inspections before opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections. I hereby apply for a Certificate of Occupancy l acknowledge that I have read this application and state that the information 1 have supplied is correct to the best of my knowledge 11 17 Dates/672 y Print Name /Lio.�.'s 5 Comments Conditions Type of construction Occupant Load Automatic fire sprinkler system required no 70 c3-2-7 Permit 0 l' I O FEES Certificate Inspection Parking Business Improvement Area (PBIA) fee charged for downtown locations IF YES CONTACT Electrical Dept. at 417 -4735 Building Div at 417 -4815 Public Works at 417 -4807 Water Dept. at 417 -4886 Planning Div at 417 -4750 City Clerk at 417 -4634 How many spaces? Please sign up for utility services at the cashier counter yes i! Print in ink ACTION New business Transfer of business location from a PBIA location Transfer of business location from a non -PBIA location Change of ownership Remodel Temporary business Change of use Building Fire PBIA Planning City Clerk Public Works I>< Approved Rejected Initials date Initials.& date 5-1-0q "31-0 15-22 -c &bb RN sR 5- -O Bt 5 -7 -1)9 R14 T: Forms /Bwlding Division /Certificate of Occupancy Application CERTIFICATE OF OCCUPANCY APPLICATION permit 0 CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 BUSINESS NAME 5 �GUI/st /l7%G BUSINESS ADDRESS WA/ itt j/lva' PO 2, ,etv 4 /,--rrrZz FEES Certificate Inspection Parking Business Improvement Area (PBIA) fee charged for downtown locations Zoning C Business mailing address 9/3 c-- 6 gs.,e /242 Phone #36 Opening date Days hours of operation q Moot/,-- 54 Washington State 1'ax I D 6:0 If known list the name of the previous U business at this location /6/ s— s Brief description of proposed business f ,ppa 14/ 1 Business owner's name %1,Qn s Phone ///7 1 Business owner's home address Q/ 3 C// t' Y/Uft leil /l�lp/ r a 3 2 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 WILL THERE BE ANY OF THE FOLLOWING? Electrical changes -1-Act de .1 New or relocated signs" Zf /p to w /H'OO'av Construction changes Mechanical changes (ventilation, heating, cooling, etc.) Plumbing changes Fire sprinkler system changes Fire alarm system changes New or relocated sewer or water service Excavation or filling of lots Work done in the City right -of -way New driveway openings Grading site drainage (parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Is this a home occupation? Is this a second -hand dealer or pawnbroker business? Is there off- street parking for this business? Is the street in front of this business paved? Is there a sidewalk in front of this business? Is there a curb gutter in front of this business? Call for Certificate of Occuoancv inspections before opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that 1 have read this application supplied is correct to the best of my knowledge I Dates? /2�7 Print Name "'s ai-44 5 Signature For City use only Department YES/ I IF YES CONTACT Electrical Dept. at 417 -4735 Building Div at 417 -4815 Comments Conditions Type of construction Occupant Load Automatic fire sprinkler system required no Public Works at 417 -4807 Water Dept. at 417 -4886 Planning Div at 417 -4750 City Clerk at 417 -4634 How many spaces? Please sign up for utility services at the cashier counter and state that the information I have yes CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Appl~cat~on Number Appl~cation p~n number Property Address ASSESSOR PARCEL NUMBER. Tenant nbr, name Appl~cat~on type descr~ption Subdivis~on Name Property Use Property Zon~ng . Appl~cat~on valuat~on 08-00000013 Date 491178 114 N LINCOLN ST 06-30-00-5-1-1601-2001- FAT DADDY'S TATTOO PLUMBING REPAIR 1/04/08 CENTRAL BUSINESS DISTRICT 100 Owner Contractor LOUIS C REHLEN TRUST C/O JOHN W REHLEN PO BOX 385 CASTLETON VT 05735 OWNER Perm~t PLUMBING PERMIT Additional desc INSTALL NEW SINK Perm~t p~n number 118505 Permit Fee 57 00 Plan Check Fee Issue Date 1/04/08 Valuation Expirat~on Date 7/02/08 Qty Un~t Charge Per BASE FEE 1. 00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP .00 100 Extens~on 50.00 7 00 Fee summary Charged Paid Cred~ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57 00 57 00 .00 00 Plan Check Total 00 .00 .00 .00 Grand Total 57.00 57 00 .00 00 ~ o I:lL < ~ Oy "- qp Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements This permit becomes null and void If work or construction authorized IS not commenced within 180 days, If construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or If required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct All provIsions of laws and ordinances governing this type of work will be complied With whether specified herein or not The granting of a permit does not presume to give authOrity to Violate or cancel the prOVIsions of any state or local law regulating construction or the performance of construction Signature 0 ner IS bUilder) T Forms/BUlldmg DlvlslonfBulldmg Permll (10/01/07) wpd 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 IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCA nON KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE o ()O f vJ INSPECTION TYPE DATE ACCEPTED YES NO COMMENTS FOUNDATION. FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLOGS ) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB W ALL I FLOOR I CEILING MECHANICAL HEAT PUMP I FURNACE I DUCTS FINAL DATE ACCEPTED BY -+: z: r- -- :s ~ ~ :5" WOOD STOVE I PELLET I CHIMNEY COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLO DOWNS SKIRTING FINAL DATE ACCEPTED BY ~ GAS LINE PLANNING DEPT SEPARATE PERMIT #'5 PARKING/LlGHTING LANDSCAPING SEPA ESA SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED \7 - c: ~ 0- --~ a JO --v ") " YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PWI ENGINEERING FIRE 417-4807 CONSTRUCTION - R W PW I ENGINEERING 417-4750 I II ///7 II o///nA III '/7 j11/ FIRE DEPT 417-4653 PLANNING DEPT PLANNING DEPT BUILDING 417-4815 T Forms/BlIIldlllg DlvlslonlBulidlllg Pellmt (10/01/07) wpd I '/ BUILDING CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St , Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 ~:~ ~ (3(j~ vm- -pA-V})\.f~ -r:fV1TVD - Pb6ne CRzo-o ,q 7 Property Owner ~'/1I.4' I W Ln()\-~ L..- ~ Phone Property Owner's Addres;,,'vo BD? 8BS- tA4-s-n~. '-.1'\" L)~13~ Contractor/Engineer -::> E1.-;F - -Pl=r ~~ 's Phone Contractor/Engineer's Address License # Applicant or Agent BUILDING PERMIT APPLICA TION Print in ink For City Use Only: Date Received 0 1- q-O 2> Permit # <Z- 13> Date Approved Expires Parcel Number PROJECT ADDRESS Lot Zoning Proiect Tvpe & Brief Description: Check all that apply o New Construction o Addition o Remodel o Repair oRe-roof o Demolition o Sign o Heat System Other o Residential ~ommercial o Multi-family o Industrial o wall-mounted 0 projecting 0 freestanding 0 awning Total si n area s . ft Maximum allowed si n area s ft o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other o other Floor Areas ExistinQ (SQ. ft.) Proposed (SQ. ft.) Basement @$ per sq ft, = $ 1st Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other I tJD!!3d-- . TOTAL VALVA TlON $ sq ft. ft sq ft = Lot coverage % Lot size Total footpnnt of structures Max height of proposed structures Will a lawn sprinkler system be Installed? Will a fire spnnkler system be installed? # of bedrooms # of full baths # of half baths Occupancy group Occupant load Construction type I have read and completed this application and know It to be true and correct. I am authorized to apply for this permit and understand that It IS my responsibility to determine what permits are reqUired, and t permits prior to workmg on proJe~frs. . 111\ ..., \ Date~ ~ DK Pnnt Name~ :p-~ Signature T,Forms/Bulldlng Dlvlslon/Bldg Permit Appl -2006 Code doc CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division ThIS Certificatzon issued pursuant to the requIrements-of SectIon 301 of the International Building Code certzfl'l11g that at the tune of issuance thIs structure was zn compliance wzth the varzous ordl11Gnces of the City regulatzng Buddzng constructIOn or use FOI the (allOWing Use ClassIficatIOn Business Busmess Naln'e: Sword & Sigil Building Penmt No 05-1036 , " Group ..lL Type of ConstructIOn -, V-N. --. " ~ . Use Zone '-____ ___J___ ''", . CA Owner of Busmess Laurel Thompson BUlldmg Address 114 N. Lincoln Street. 74':~~ 9 r A' Address 4423 Beaver Va. Rd. Port Ludlow. W A. 98365 Port Angeles. W A. 98362 No. 73 ~~~~;~~:~~:.:~-:;?~--- " '~$l,f"",.,".k" ~,'~ IV'"'" _ >" ... 'I<t~;~,I~~?L kt.~~ ~ ~ ,- I"-~ 7"~ '. Post on the p:.~:mjs'ej hl~a'con-spicuous place. Shall not be removed except by Building Official. '~Wprd ~ ;?IO I L- jf 1!> ROUTING SLIP 1t c9S--IO 3 b p", (,t Certificate of Occupancy $50.00 Certificate/Inspection Fee I/-It)..-CJS- c>1'e.n ~ i'ORT-1", ....~O~Q~~ (j~""",t/l l__ _ "- """'-'" =- ~ "vSLICWO...:f~. DATE Oc-l e.:2o c::200S Address of Proposed Business //'1 N. LlltJco/..,J R.>rcr ANItJE~5 wA. Applicant LAv~€--L 77-/ON P S eJ ~ Address ~9;l3 ,g.&5AV&~ VALLey R-D PO/2..r LvDLCLAJ wA, Cjg3.fLJb" . ;g,o , Phone: business home ~1~dl J New Business. . . . . . . . . . . . . . . . . . . . . . . . . . .. (>< Transfer of Business location . . . . . . . . . . . . . .. ( Change of Ownership ..................... ( New Building ............................ ( Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( Temporary Business. . . . . . . . . . . . . . . . . . . . . .. ( Change of Use .. ........................ ( Brief descnptlon of proposed business: ~~, I (;,1+ s.~;-e _ ( legal Descnptlon: lot Current Use of Property: Zoning Classification of Property. Block WILL THERE BE ANY OF THE FOLLOWING? YES NO -~ }t - ------r - ---x- -- }t --r ---r -- _-L _ --.:L -~ ~ == 'f. -~ _--L y Construction changes Electncal changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs New septic tanks New sewer service Admission charged to patrons Is this a home occupation? .. . . . Excavation of filling of lots Work done In City nght-of-way Is there sufficient off-street parking? .. " New dnveway openings A grading plan for site drainage (parking lots, downspouts, etc ) Are the eXisting streets paved? Are there eXisting sidewalks? Is there curb and gutter? Other 'I -- -L_ ~- SubdiVISion THE FOllOWING Will BE REQUIRED: PERMITS 1) BUilding 2) Plumbing 3) Electncal 4) Mechanical 5) Sewer 6) Sidewalk Installation 7) Dnveway Installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter Installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BUSINESS LICENSE 1) TaxI 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read thiS application and state that the Date: information I have supplied is correct to the best of my knowledge. ~ /~ ~REJECTED )0/<'165 512- KOO ID~I /os .8u , , ,}K Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. ~ vi /D -6C:> - ~ ~~ ~~ ..... e-- Comments / Conditions \ . Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. J;3 /$- ., /;;/1' 7 I' , ELECTRICAL PERMIT DATE N. Installed By: E. If-c.A.-ft( Owner/Business: \l T tJO Owner/Business Address: IIvc-oiN ~.~~LlI0 "f U 'l o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: phone: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/aller/repair o Overhead o Underground Voltage 01003.er Service size o Temporary o Add/aller circuits o Auxiliary power (list below) o Special equipment (list below) cll\~t of! C)~~I c/l: e-k''&.f- I Amps DetailslDescription: -' cllAhl /1 . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough.in/cover O.K. o O.K. to connect service 11 Final O.K. Size Comments 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/pendi ng Site ll\ddress: Permit/Receipt No. J I :J1.s~ Inst~llerc New Meters Dater ;;~ Noti'y 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 Buiiding Permit. PHONE 457.0411, EXT.158 or EXT. 224. .-,:: ,r NOOCCUPANCYORUSEESTABLlSHEDUNDERTHISP~RMIT // ~ ~ L~<c.}, (J \ Inspector Amount paid \T~ - file by address YELLOW - file by number PINK - Top: Eng. Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall .PIIe PRINTERS, INC.