Loading...
HomeMy WebLinkAbout106 N Lincoln St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 1 circuit for spa Owner NAVAL LODGE BPOE 131 E 1ST STREET PORT ANGELES 36) 457 3355 Permit Additional desc Permit pin number 164962 Permit Fee 73 50 Issue Date 5/07/10 Expiration Date 11/03/10 Qty Unit Charge Per 1 00 73 5000 ECH Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98362 ELECTRICAL ALTER COMMERCIAL Charged 73 50 00 73 50 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000452 782932 106 N LINCOLN ST 06 30 00 5 1 1675 0000 ELECTRICAL ONLY CENTRAL BUSINESS DISTRICT 0 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 EL BRANCH CIRCUIT WO /FEEDER Paid Credited 73 50 00 73 50 DATE Plan Check Fee Valuation 5I« lo 51(Y ho 00 00 00 Date 5/07/10 WA 98363 00 0 Extension 73 50 Due 00 00 00 RESULTS stv Signature of owner or Electrical Contractor X Date INSPECTOR. spoki) Owner Informapon Name: ,_.:E. .s. V 13fO 13 /tId' rim Molina es: 13 &.L—, City: i. State: wj_ 7Jp: J Phone: 335" Fax: License l Exp. ServicelFeeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401 -800 Amp Service/Feeder 601 -100D Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Sery celFeeder 401.600 Amp, Temp, Service/Feeder 8014000 Amp Portal to Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 FamOy Dwelling Signal Circuit/ Limited Energy Multi -Family Dwelling Manufactured dome Connection Renewable Electrical Energy 5KVA System or Less Tnermoetat tIEW CONSTRU1CIJ0A P. 4 X First 1300 Square, Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Chew 119.90 145.50 204.80 26220 372.50 2.60 73.50 2.61) 92.70 110.30 $148.70 167 90 95.9D 08.20 95.90 63.90 63.90 119.90 102.30 66,00 110.30 35.20 73.50 11030 Sig of owner, electrical .T r or electrical administrator ostid:5/ REMVEC CITY OF PORT ANGELES PERMIT APPLICATION Pi ►tl' 7 2009 Building Division/Electrical Inspections 321 East Fifth Street F.O. Box 1150 Port Angeles Washington, 90362 ELECTRICAL Ph: (360) 417-4735 Fax: (360) 417 -471.1 INSPECTIONS Date: 51-5 1 2 Single Family Dwelling Multi- Family or Commercial* X,. Commercial Addition 1 Alteratloq Remodel Repair Plan Review May Be Required, Please Co plate Electrical Plan Review Information Sheet Job Address: 0_4_6/ Oes Building on of above 4 4' ,4 C'LR..L' L�1.� -ftstr p �A e Owner as defined by RCW 19.28261: (1) Owner will occupy the structure for two years after this electrical mma for In an N �T�a,,� i t f N E ir die t Mailing Address: ....P...O 2 F City State: ZIP ZIP I Phone: Q_..., Fax: Si license 1 Exp._, Yogi l iAgo .dam Unit Chang Cl cm 0 chealr c►Maect�rdiw _�:r9T i I I X1 1 i permit Is finalized. 2 :weer Is required to hire an electrical contractor if above said properly is for sale, rent or lease. Permit expires after six months of last Inspechor After reading the above statement. l hereby certify that t am the owner of the above named property or a (ionised eiecfifcat cc nl a ^tor lam making the electrical installation or alteration in compliance with the electrical laws, N.E,C. RCW Chapter 19.28, WAC. Chapter 295- =E 3 The City of Port Angeles Municipal Code, and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Appl6calilcrns. PREPARED 7/11/08, 9'22 15 CITY OF PORT ANGELES ADDRESS TENANT, NBR' CONTRACTOR OWNER PARCEL APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES LIERLY 106 N LINCOLN ST BEAUTY EXPOSED BURFITT CONSTRUCTION INC NAVAL LODGE BPOE 06-30-00-5-1-1672-0000- 08-00000629 COMM REMODEL PAGE DATE 5 7/11/08 SUBDIV PHONE PHONE (360) 683-6780 (360) 457-3355 PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 6/16/08 6/16/08 01 FFNL 01 7/03/08 7/03/08 BL99 "fr JLL AP KDD AP JLL 7IP BLDG FRAMING TIME 01 00 June 16, 2008 8 46 50 AM lpangrle JODI 460-6985 FRAMING AFTERNOON PLEASE CALL HER 30-MINUTES BEFORE YOU GET THERE June 16, 2008 4 20:27 PM ]llerly FIRE FINAL July 3, 2008 9 41:08 AM kdubuc. flre flnal July 3, 2008 9 41 53 AM kdubuc flre flnal BLDG FINAL TIME. 01 00 July 10, 2008 8 25:39 AM lpangrle JODI 460-6985 BLDG FINAL - (BEAUTY EXPOSED) AFTERNOON PLEASE CALL HER COMMENTS fi~; if AND NOTES -------------------------------------- 30-MINUTES BEFORE YOU GET THERE I ~~( t( r. (),u 'V &u / ;/)\ IjO PREPARED 6/16/08, 13:12 50 CITY OF PORT ANGELES ADDRESS TENANT, NBR. CONTRACTOR OWNER PARCEL . . . APPL NUMBER: INSPECTION TICKET INSPECTOR: JAMES LIERLY 106 N LINCOLN ST BEAUTY EXPOSED BURFITT CONSTRUCTION INC NAVAL LODGE BPOE 06-30-00-5-1-1672-0000- 08-00000629 COMM REMODEL SUBDIV PHONE PHONE (360) 683-6780 (360) 457-3355 PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 6/16/08 I( I 't BLDG FRAMING TIME 01:00 June 16, 2008 8:46:50 AM lpangrle. JODI 460-6985 FRAMING AFTERNOON PLEASE CALL HER 30-MINUTES BEFORE YOU GET THERE. PAGE DATE 3 6/16/08 COMMENTS AND NOTES -------------------------------------- <i CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER. Tenant nbr, name Application type descr1pt1on Subdiv1s1on Name Property Use Property Zoning . . . Application valuation 08-00000629 865044 106 N LINCOLN ST 015-]9 00 5 1 X6-7-~ BEAUTY EXPOSED COMM REMODEL Date 6/12/08 . C6Y'lect- PNvcY\ "$~ 0630 ooSl '''/5 CENTRAL BUSINESS DISTRICT 1100 Application desc TI - ADD TWO INTERIOR TREATMENT ROOMS Owner Contractor NAVAL LODGE BPOE ELKS LODGE 353 131 E. 1ST ST PORT ANGELES (360) 457-3355 Structure Information Construction Type . Occupancy Type WA 98362 BURFITT CONSTRUCTION INC P.O. BOX 773 CARLSBORG (360) 683-6780 WA 98324 000 000 TI - ADD TWO INTERIOR TREATMENT ROOMS UNKNOWN BUSINESS'OFF/PRO/MED/REST Permit BUILDING PERMIT - COMMERCIAL Add1t1onal desc TI - ADD TWO INT. ROOMS Permit p1n number 127258 Permit Fee 68.30 Plan Check Fee Issue Date 6/12/08 Valuat10n Expiration Date 12/09/08 Qty Unit Charge Per BASE FEE 6.00 3.0500 HND BL-501-2K (3.05 PER C) 44 40 1100 Extens10n 50.00 18.30 Special Notes and Comments A minimum 2A-10BC fire eX1nguisher is required. Extinguishers must be mounted, with the top no more than 5' off the floor. Suggested extinguisher placement is adJacent to an eX1t Other Fees STATE SURCHARGE 4.50 ~ ~/ O,-J ~ " ~ , ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68.30 68 30 00 .00 Plan Check Total 44.40 44.40 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 117.20 117.20 .00 .00 Separate Permits are reqUired for electrical work, SEP A, 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 Whethvup ified herein or not The granting of a permit does not presume to give authOrity to Violate or cancel the prOVIsions of any state or oc law regulating construction or the performance of construction. G _ ~ . '~ 01; cd; ralvty11 ' Da e Print Name SI na re of, Co tractor or AuthOrized Agent Signature of Owner (if owner IS bUilder) T FormslBUlldlng DlvlslonIBUlldlng Pennl! (10/01/07) wpd ), BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS 0 CALL 417-4807 FOR PUBLIC WORKS UTILITIES oQ 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. <S"-> KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE \;:l ~ " INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS ) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING ()G~/J...,...()~ ';r[, L- JOISTS I GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR J' . INSULATION "" ~ SLAB W ALL I FLOOR / CEILING MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE I WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLO DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR fO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION. R W ENGINEERING 4] 7-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT . , 4 I 7-~750 ,.~h' PLANNING DEPT ',,",,-'" t>-,~ ~ BUILDING 417-4815 BUILDING fLTi-/tR PB (5 cr-- .2. r- .... ., ~ a - s ~ o 3 T Forms/Buddlllg Dlvlslon/BUlldlllg Permit (10101/07) wpd r ~ - <:. .+- VJ c -- 0 ..--/ \j C -- -J ~ ~ ~ ~-~--- ---- ------_.-- ~ ----- ..., /' >-- - \ -~ \ ~~/- ~~ // ~ -- -- -- - - -. --.--.-.-..--- - -. -. ---.r- I , exI!:TlNU, o==::=---~-=--:-.:.=:-:;..:...:_=_.:.__:. .~:.-...- --:"~_:._~-. ;: .:;:- ...:. .::-::u:::_~_:_::_= : .: :Sf?,(iftN KtcI< . S1S TEJ\4--.:......::c:- :':--=-'.:::::~ ::=._ _ : _..,'. _, :".: __ . 0 r-.----- - -, --. -- - - . - "'.-,-,---,, - ." -' .-- '" --.-u.e~s-n-}iG.. '. --- - -- --, '-1-' -- , -. -- - - -- -- - . -- -- .---..-- ". ---I I ____ _ ...u._____. "- . ._. _ __ __ __'-:..~6~"'__~':!~ _ _. _ _ __ _..__ _u.._.__ J . _. __." . . . ". . _ __ __ H__.__.___._ _ __ _'n J , , \ EXISTrN6r pOST ~! ---:- UC) TcJ- -_ '_ c:_: __ _, c::-c_-c_ I I'r.::::=.::::.::.::.:: -. .. - .' - I I I; I I I i I J ! __-L 1-\ 1 ~ 11 11 : :___w__ ---{- ,- - --- -I - ____n. . ----;0' --~- .---. ~tEt-. -' .---. --.----. . I t 1 1 I , J1 .-- ~ : /2.')C /0' TeMPOMRY ROoMS ~"X41t FfJ.A/t.1JiV(;. 12/ Jot/CAN :L AJ'5 ULA rfED ANt:) (.)RY 1M -/:1 . I I -L...... .~ -- l -........ Q:::":,=-..;._';. u __ '_ __._. .:_ _ _0._.. .__ . _. __ _ _ _. . ::.. .0'-.._ _. _' . - . / /30 j I' , ! i I . I 1 . I i I . ! . ! I 1 .. If)' ------ ---- ~ l1-'$-h ~ 'f 't\..'. \ ~~U ~ ~~~, \~~,,~r-J f~ ~~, c J~~-~ srANtJARO fkJ'oR. . , PANE.G1TY OF PORT ANGELES ~ Construction 1'lan<; The Issu~nce of this permit based ~pon these plans specifi- cations and other data shall not pr~llllfldtn official from thereafter requiring the correction of errors n said pl"~s, specifications and other data, or from pr venting bUilding operatIOns being camed on thereunder when In VIOlation of all codes and ordinances of thiS juris 'Iction. (SCCTi6fJ 3S~(~J . I:l.nlfp[fl! !lU;:dlll~ ellC.!t-J . D2 (p ;cg.c Approval Date By :::r-ruc. }jl( -1r~ I. lc...___ hJOA...... W~L.L. AJOT (. HA N(j,~ S TR/X..,T() R~ OF eXIS.""IN~ 8Ull,..tJlNtJ? (>{;. WILL UrrLI.'zE SPP,/}JItL~ SYSTEM rlV NEW I<<JOMS W ll-L Vrn.rz. G LZ, HT.r NG, .l\t'Jo rELECf"RI?Af.- J;AJ AJ(:W Movv.S PI-AN TV rAKi t:Jo WN OL.t> t-T:6Hn:.N6 rJ:xTUI<c.S AetJUc )J€W ~OOMS /tNf) ,eepV"\cr wrTH ~W C9~~U bo\M? wo..L( +. -P{675r I}r .t\~lJLv-- fiLE PLANS APPHO\ ED BY POnT AXCELES FIHE DEPT. ~~ DAT~:~-- (D.<o.os A.a.l c.. , uFl I DATE: 2;-27-oZ 1 ( 'l'O: t E!'IRE DBPAlrL....1ft- . 0 PWUIZRQ DBPARDIBIft' o PDBLIC WOU8/ERc;D!KKWIRG DnrDIOIf o LIC2r ~'r o BItI5.KGY o DGlltKKl(Dfc; o POLICE DEPARDIER'1' O&~~=::.- s~) o RXSX MAHA{jrifIfEHT 0 'i- ~ 0 -I FROM: PllBLl:C lIOllES/lllllLIlDlG D:rvJ:SJ:OH r ~e)v Jo\j RE: AODRESS-.J 0 G ~. L, ncol h S-t HAXE/COHTACT -:-S-od \ ~l ~ch l' J PHONE: '4 bO --6~ ~ S PERMIT N~ 08-10'2-4 PROJECT DESCRIPrIORJ.]:. -- F\d.A 2- \ V\+er ,'or ~AtmGtlJ- \'bt') 1m ( .. . . o HEW CONSTRUCTION )( ABB~--~AIll'EllATIO~ COMMENTS/ CONDI'l'IONS : ~tVl.I:;W/RETURN n FILE ?~b 0'8 -21-i Applicant or Agent Jcd - Fat}chdj Property Owner ~II(S Property Owner's Address r~ I ~ \,S+- "5+-, Contractor/Engineer ~}1 S< VII t:' .5 8l<.,,'r~\~~AA- Contractor/Engineer's Address ?cBo" ("1~ LtA...r\s~rJ License # -elA~ f\c.-\q7'-f f>(J .. . BUILDING PERMIT APPLICA TION Print in ink CITY OF PORT ANGELES Phone ~ ~3 - lP7<;-D VJ Pro 9 cg ~'1..y Expires Parcel Number PROJECT ADDRESS t) Lot Zoning Project Tvpe & Brief Description: 0 Residential ~ Commercial 0 Multi-family Check all that apply o New Construction ~ ~emodel o Repair oRe-roof o Demolition o Heat System 0 Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other o Other " Floor Areas Basement 15t Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other ~ Total footpnnt of structures o Industrial Existing (sq, ft.) Proposed (sq, ft.) @$ per sq ft = $ 1 <.- ~ r Vi -..... S'" -() i 7- ~ lh ~- osee{ +- f ~ 0.... TOTAL VALVA TlON $ 1 c ~ ~ ~ ~ E ~ ~ \':a~ ~ ~ ~ !: ~ f: \J ...r V\ ~ "3 <;;/ U\ '- % Q) ~ V'l r . -0 .~ c sq. ft $... lp ~ VI I have read and completed thiS application and know It to be true and correct I am authonzed to apply for thiS permit and ~ understand that If IS my responsibility to determme what penmts are reqUired, and to obtam permits pnor to workl on s:: projects <) Date_fllf!/J:b Pnnt Name JrJl WVdulL Signature ~ T FormslBulldlng Dlvlslon/Bldg Permit Appl -2006 Code doc :s ';jon, b/l2-JOB whBl'\' ~~tti'r(c..J<~vf -tl11S Fe;rn,(t. We.dl\Scus~ -ti1e.neeJ ~r G\degll&<Je,'5 V~V\h'A,Hbl'l if no.'U /.L.()rk 110(\\ ba..J..e>ne here.. "3Ocli Sald she ot.Oesh't /(tlOW If 5~ neeJs ~tt {''J/J Lot size sq ft = Lot coverage \~ Max height of proposed structures Will a lawn spnnkler system be Installed? Will a fire spnnkler system be Installed? ft Occupancy group Occupant load Construction type # of bedrooms # of full baths # of half baths ..~ Parcel Lookup Parcel Number 0630005116750000 Site Address: 131 E FIRST ST PA ,'Print I . Quit I . Back I Taxpayer: ELKS LODGE 353 131 E 1ST ST PORT ANGELES, WA 98362-2902 Title Owner: NAVAL LODGE BPOE Ii 6(; l\;S1 ~-; ') Description: SMITH, NORMAN R LOTS 17&18 EXC TX#1429 BL 16 Value Summary: Note: Listed values do not reflect adjustments made for exemption programs such as Senior/Disabled or Current Use programs (except Commercial Forestland properties). Land Value. 162,000 Improvements Value' 1,412,200 Total Assessed Value. 1,574,200 Property Characteristics: Note: Use Code IS for Assessor's purposes only Contact the appropnate planning or building departments for Zoning and allowable usage of property Use Code 6992 PROF MEM ORG Land Size (acreage). 00 Note Acreage IS not listed for all properties In the Assessor's records More information about land size Tax Status Taxable Tax Code Area.. 0010 Note' ZOOlng and zoning codes change constantly Venfy all zoning with the appropnate planning or bUilding department Building Characteristics: (Click on Bldg. # for more details) L Bldg. Type Bldg. Style Total S.F. BD BA 01 Two Story 26791 Tax History Sales History :-pri'riq ~ : S-ackl 111,733.98011 http://apps.clallam.net/website/sitis --p.pgm?parcel=0630005116750000 Page 1 of 1 5/27/2008 136 123 k, 132 ! I I I L_~ .....,....... " : ".,' ,'\.-. "':~'~\':~\:, ,~\"" ~w ...:tiP ",' ,"'" ~\C' '>"" ,~ C E RTI!f:I,CA.t;E~;,:O'F~'tOCCU PAN CY ,. .t~'\'.>~ '\V"~'.::,\;;'!..~\:,,' t\'" \: '..'~:~\\"~" ,-~-:",~"f:,<, ~ Cj'fy of Port Angeles.'~ Buildin~~Q,ivl~on J, ,~~ Thzs certificate is issued p~~~tlahMo/he requzrements of Section 110 of the 2003 International Building JPr' .,,,,-'-'l ~~<;,'l ,;",~ '.~.A~''h~'\\:~\' \I~ Code certifying that at tHi! lime'oj..{JJsilahcethis structure wasin:ciimplzance witlNhe varzous ordinances of the City regulati~; f~~l~~~ff?~~tru~ti?~,~,~~se~of-~'tle,!9{l~~?'~~.:\, ":', '" ,\ . ~ ;~,,,~\ ,~\.:~,;,~-',~' \,.,~,~ ~\.\!; ',-"-'""",, -,- 1'1 Bus~ness name: B :~,(:J~~I.!~~pa. ~';,:".,~:<.. "(": lj Buszness address~ :./'i'!'06 N. Lincoln St. '~.,' Jj' lJil 1;; ,I \ '''' ; . Owner ofbusinesJS: t" Chelsea Martin \ . '-', ~ "'",,,:, 'I 3 Owner's address:\ ~=~~~=lBOX 997, Po~:~~~el~.~,' YY~~~~~62~'.',~.~~.:,:.~-~) ! Use & occupancy elass'ijication: Bus'iness,'lt~Y"" ., . . . 't ~''>*'.l~~ '\\~, ''''':\-\\~~~ .." Buzldzng permzt nu1er..::J '""~"'''' .. 0. 7 - 1,5.0.3 ii:,~"" Type co stru ion. ~ -~ Post on the premises in a conspicuou {V\~ teel t2.-li-07 OS/24/07 Date --- o ()' z " r- -,. :s ti .,,-- :5 ~ L.... . OW"er: C he \ 5 ea... (YIQr1-\ n /Ve Wi htrJIIle.~ J jJrA / -; S 1(7'- DATE 3/ 2~/o r I Address of Propo~d Buslne~s . /O~ /lJ. [, (/{jOLn 07 -.1:t70~ ROUTING SLIP ~ fbL- Certificate of Occupancy ~ $!]'] Lit Certificate/Inspection Fee IY1- 01 s1recf~ Applicant ~ 35St,'Z-- ::;;: c:z n, e.- 8 Address '- ~ t o. &')( '1'\1 ~0r ~h()Y\el~~~e.\S<<. PA- tf'83G>2- -Phone: b~sl~e~? ~) 5bJ -()ut' home (jb~) 4-/+ 05f9 C- C{[~n.:I- . biCA-/1c1ec/ New Business. . . . . . . . . . . . . . . . . . . . . . Transfer of Business location ., . . . . . . . . . Change of Ownership ..................... New Building ............................ Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business. . . . . . . . . . . . . . . . . . . . . . . Change of Use . . . . . . . . . . . . . . . . . . . . . . IJe/dt/IC5YIoy' AijJ//16...J //JU// CpC\.. Brief d~scriptiqr of propose9 9fljiness: /01' CuR C/-r{ , j;jda/n tf1 t, <F legal Description: lot Current Use of Property: Zoning Classification of Property: Block 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 YES ~ -~~ it;( -~~ - -')- f; --T- -~ ==f= --f- =t ~= Admission charged to patrons Is this a home occupation? Excavation of filling of lots Work done In City right-of-way Is there suffiCient off-street parking? New driveway openings A grading plan for site drainage (parking lots, downspouts, etc ) Are the eXisting streets paved? Are there eXisting Sidewalks? Is there curb and gutter? Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read thiS application and state that the information I have supplied is correct to the best of my knowledge. ~\ REJECTED l Building Section) Public Works Department Planning Department Fire Department City Clerk PB.I.A. . I/V @. I/l'reA1 f-- 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:zt-l or- ::~ ~. Comments / Conditions ~ i),~~<t -r~~' ts-~ =- ~ '"0&;",;;0.<-" (~) ( ) ( ) ( ) ( ) ( ) ( ) Ocvl\<:.r: /' I", ') I _ ~(') ~ t..- i 'l; 1 .') '-'. j", :"\" ~ ' i' HH'~; \ n : I-~~ I,r~_, \ , ''';; I" ,,' " , /} , l - , ROUTING SLIP ~ . f., ~ Certificate of Occupancy G~.......(t ~:: : I ' L "'=-'" / , =- I~ $50:DC9'Certificate/lnspectlon Fee , ~ ~lICWO~~ - / " - -~ , ) DATE New Business. . . . . . . . . . . . . . . . . . . . ( : . " .. ..... . Address of Proposed Business Transfer of Business location . . . . . . . . . . . . . . . ( ) , /1' . ) Change of Ownership ( ) I , I ~ ... . . .... . .... .... . . Applicant ~ 3g~~ New Building .... . . . ... . ..... . .. . . . . ( ) - Address ,...) (,) . 'W'~ ");{ ~,' # Remodel . . . . . . . . . . . . . . . . . . . . . . ( ) ---- Q ,'-.. (t " ..... . . ~ "'" - ( ...~ ~;, -' (/ e{y OJ)> ~) ,; ;; . , Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( ) " l) ;. J~I':;'" ."'" r \...(I~';"'(A _J ~"f;;? I~' . \ ~ I.' i ....~ Phone: business home Change of Use . . . . . . . . . . . ....... . ..... . . ( ) , I" I, " Bnef d~scnption of proposed business: , , , . - / I legal Descnptlon: lot Block Subdivision Current Use of Property: c.,\5: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 -- 1) BUilding 1) TaXI Mechanical (heating, cooling, stoves) -- 2) Plumbing 2) Peddlers Plumbing changes -- 3) Electrical 3) 2nd Hand Dealer New or relocated signs -- 4) Mechanical 4) Pawn Broker New septic tanks . . -- 5) Sewer 5) Dance New sewer service, -- 6) Sidewalk Installation 6) Hotel - Motel Admission charged to patrons -- 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: information I have supplied IS correct to the best of my / , ' .. knowledge. Signed: '. APPROVED REJECTED Comments / Conditions Building Section 13.1:" ~fA .-fA Public Works Department Planning Department I \ ) Fire Department City Clerk P.B.I.A. ;' " " , . .. jr)p tAl ho/)I/l,e({ ROUTING SLIP :f~ORT ~'" Curr@i'lf . !' 0 ~<~I.i~:{~<I'<,~ . H fte... Certificate of Occupancy <.i ~____ <Jl ))011/ S!~ b/'o /?dec/ "- """"-'" =- II $~8!6)(!):>Certificate/lnspectlon Fee ~ I " "t-SLICWO<r-+-c:' DATE 3/21 /01- New Business. " . ... . . . . . . . . ." . . . . . . . . . . (~) I ~, , Address of Proposed Business .s-lr f?ct . Transfer of Business location . . . . . : . . . . . . . . . ( ) /oro ;u, / I '/7 {,.O[ f1 Change of Ownership .... . . . . . . . . . . . . . . . . . ( ) Applicant New BUilding ... . ...... . . ....... . . . . ..... ( ) Address <;;; ~ /"n e . Remodel . . . . . . . . . . . ( ) . . .......... . ...... Temporary Business. . . . ........ . ..... . ( ) Phone: buslness;;;~) ~r ()af) home ("".) L/l1" 0515 Change of Use . . . . . . . . .. ....... . ..... . . ( ) \, '" I ;4dd h CJ>~ oyt7 ~ Brief descnptlon of proposed business: j/1-y ijJ I /Je.s 5 / I/,; ~ tJ/re 11 f- IDr ()!?071 "' ;lrfdlnC1 !I/Cf/ / cP~ I .r legal Description: lot Block Subdivision Current Use of Property: Zoning Classification of Property: , Will THERE BE ANY OF THE FOllOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes . . .{ PERMITS BUSINESS LICENSE Electncal changes - V 1) BUilding 1) TaxI Mechanical (heating, cooling, stoves) ==..( 2) Plumbing 2) Peddlers Plumbing changes Y 3) Electncal 3) 2nd Hand Dealer New or relocated signs .. . , . ==k 4) Mechanical 4) Pawn Broker New septic tanks :Y 5) Sewer 5) Dance New sewer service . , -or- 6) Sidewalk Installation 6) Hotel - Motel AdmiSSion charged to patrons --y 7) Dnveway Installation 7) Fireworks Is this a home occupation? -;p- 8) Curb Installation 8) Ambulance Excavation ot tilling ot lots - Y 9) Sidewalk obstruction 9) Tattoo shop Work done In City nght-ot-way ==~ 10) Water meter Installation 10) Other Is there sufficient off-street parking? or 11 ) Fire New dnveway openings -~ 12) Occupancy ==1>< - A grading plan tor site drainage 13) Sign (parking lots, downspouts, etc.) , , . . ~ .X 14) Shoreline .- Are the eXisting streets paved? ----.Ii ,/ 15) Home occupation Are there eXisting Sidewalks? f<:. 16) Conditional use Is there curb and gutter? -y- 17) Other -- I Other -- I hereby apply for a Certificate of Occupancy and acknowl- ;S. J? }-Iu }- // edge that I have read this application and state that the Date: /J Information I have supplied IS correct to the best of my Signed~j/o6~g kr;lOwledge APPROVED REJECTED Comments / Conditions BUilding Section Public Works Department Planning Department ~- \~'fo -' '19' F-r.t- i - I l '.lJie~~ ,e,fil.a, rT:len .., ,", ~ '. . , ,.. " .. ..{ City 'C1erk- - '... f \, )1 -" I . ~ t, ~ P.B.I.A. ; ,.. I : 1_ ^, :j .. ." /L/e &u' h lr J1 1\ t- ':j" jJtA// S!~ ROUTING SLIP I f~L- Certificate of Occupancy /- u $ea 'Ji'Certiflcate/lnspection Fee ( u r/'I?, It/- . b/'t/'-/7 c:leC/ DATE Address of Propo:'}8d Buslne~s (' j /' .?'''''''f ~ /O~ jl/ it (l (--C)LrJ J1LC <- Applicant ~ c:::z I'll e Address - Phone: busine(:3~) ~6j-oDtJ home 0":) 41+05:}: Bnef d scnpt,of of propose o {1.J7 0'?1 " , legal Descnption. lot Current Use of Property. Zoning Classification of Property. Block Will THERE BE ANY OF THE FOllOWING? 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 YES! --+- -4,- ! ==i= --f- =!+ ? --v- /7 - I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read thiS application and state that the Information I have supplied IS correct to the best of my knowledge. APPROVED REJECTED ~7 Building Section Public Works Department Planning Department Fire Department P.B.I.A. New Business .. .. . . . . . . . . . . Transfer of Business location . . . . . . . . . . . . . . . Change of Ownership ... . . . .. .. New Building .... .. ..... . . . . . . . . . Remodel. . .. ..... . . . . . . . . . . . . .. . Temporary Business. . . .. .......... .. Change of Use . . . . '" . . . . . . . . . . . AI/,J'//lcS.J" . I ~ r1A! L/ I' r u1 f--. 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 S#-i-/cJ7-- Dale ' 6:~ Slg~~ .,C:lL....--. . Comments / Conditions ( ?X'" ) ( ) ( ) ( ) ( ) ( ) ( ) I · I It'e (/t/ In, J I 1\ t- ( f }/C1 / / S 10-- ROUTING SLIP I-lv feL-- Certificate of Occupancy $':'':' QIj Certificate/Inspection Fee r: u rF'f?,)1./- . btt/"-/?cJec/ c:kecf~ ~ C'Z- 1'/1 e. . - Phone: buslne~3~) ,?6J-rJ2/tJ home 0"!-) 4-/+051 Bnef d scnptioj1 of propose V Cv/lv"71 " , Legal Descnptlon: Lot Current Use of Property: Zoning Classification of Property: Block 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 ~ -~ f ===t --f- =!+ ? -V- . r - 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. ~\ REJECTED Public Works Department Planning Department Fire Department CIty Clerk P.B.I.A. New Business. .. ..... ........... Transfer of Business Location . . . . . . . . . . . . . Change of Ownership ... ........... .... New BUilding. . . . . . . .'. . . . . . . . . . . . . . ._._. '.. Remodel . . .. ....... ............... ... Temporary Business. . . . . . . .. ............. Change of Use . . . . . . .. .................. AI;;7J//lcS.J" l- I/v 0A1 t/l'rt:A1 f-- 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 Date $f!J~I<0- dt Slg~ .~ --. Comments / Conditions (~) ( ) ( ) ( ) ( ) ( ) ( ) Me ( SPot- t/I ROUTING SLIP I()':: --- Certificate of Occupancy $50.00 Certificate/Inspection Fee t(;n-~ legal Description: ot Current Use of Property: l!-A3 D Zoning Classification of Property: Will THERE BE ANY OF THE FOllOWING? YES 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 ot tilling ot lots . Work done In City nght-ot-way Is there suffiCient off-street parking? New dnveway openings A grading plan tor site drainage (parking lots, downspouts, etc ) Are the eXisting streets paved? . . . . Are there eXisting sidewalks? Is there curb and gutter? Other.. . 7;- ~ ~- (O(;;L (bep ~ ' '" {J~~l/> L -=:...s =- ~ ""c.t8L/C wo?-~ o 0\ , .---- 0- ~) ) ) ) ) ) ) New Business. . . . . . . . . . . ". . . . . . . . . . . . . . . . . Transfer of Business location . . . . . . .. .. Change of Ownership ....... . . . . . . . . . .. " New BUilding ......... ........... Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business. . . . . . . . . . . . . . . . . . . . . . . Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . - ~ THE FOllOWING Will BE REQUIRED: PE MITS BUSINESS LICENSE ) BUilding 1) TaXI 2) Plumbing 2) Peddlers 3) Electncal 3) 2nd Hand Dealer ..- 0 4) Mechanical 4) Pawn Broker 6"" 5) Sewer 5) Dance 6) Sidewalk Installation 6) Hotel - Motel Z 7) Dnveway Installation 7) Fireworks 8) Curb Installation 8) Ambulance r-. 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter Installation 10) Other '5 11 ) Fire b' 12) Occupancy -- 13) Sign :5 14) Shoreline V' 15) Home occupation 16) Conditional use -t 17) Other I hereby apply for a Certificate of ccupancy and acknowl- edge that I have read this app cation and state that the Date: Information I have supplied I correct to the best of my knowledge. Signed: . irp;:~ REJECT ~B() BUilding Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. Comments / Conditions O\Jt Q f 6v Sc'vve s. S see... new \:, v S;: V\e SS; 10 c.o,.'Ho ::tt Nl\~ \ l--. Port Angeles, W A. 98362 Port Angeles, W A. 98363 . .~- CERTIFICATE OF OCCUPANCY -City of Port Angeles Building Division This CertificatIOn issued pursuant to the requirements of Section 301 of the International BUilding Code certifying that at the time of Issuance this structure was in complzance wzth the varzous ordznances of the CIty regulating Buildzng construc!,zgnJ}r use For the following: Use ClassIficatIon Business BUlldmg PellnleNo .,..0.6.=:1'083 ... _._.,~ ~jJ~!!!~ss:~ame Branded. -.... ,..,...,,-;:;:.::;~~ ~:;::..:"--:;:;-- -,.::;.;:--::.:-:' 'Y-~" 'CY' \l:;f-'i"~~,.",~"-~-::'~~;: Group ~ Type of ConstructIOn "V -N"" ~ ~~~...- . ""~"""U;;Z;;ne CBD Owner of Busmess Marlen Ravelo. Address 1420 S. Oak Street BUlldmg Address 106 N. Lincoln Street (j / ~. 1 t'\?,iZ'~:-~7;;;;:~'".'" ~/:f./.-fJ . .~ 1,'-" ~~:.,:; .:'><: " <.' -- -- A~ 4~J -,.,"" . '," Planning:1S4anager ~,'\> ~ "~.:' ". ' / "'<<)!"~'< " December 8, 2006 Date / " l3iZ.4U7et? Phone: ()h, J 1JfJ3' M New Business. . . . . . . . . . . . . . . . . . . . . . . . . . .. (1)< Transfer of Business location . . . . . . . . , . . . . .. ( Change of Ownership .... . . . . . . . . . . . . . . . .. ( New BUildIng ............................ ( Remodel. ................. ............ ( Temporary Business. . . . . . . . . . . . . , . . . . . . . .. ( Change of Use . . . . . . . . . . , . . . . . . . . . . . . . . ., ( , Brief description of proposed business: 'Ee II r~ IcvJJ C lo+L--;':j ~ ItCL. -(0r J4~Y\c W~c:"J1' legal Description: lot tA1L.f rg- Current Use of Property: ZOning Classification of Property: Block WILL THERE BE ANY OF THE FOLLOWING? 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. . 'It YES NO --4- _ ..k- 6( ==f)( ~. -- ~ -~ -- ()I.. -- ~ -- U -- _-'L -+ -Dr -- ~-'-- --If-~ 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. ~ REJECTED IDh~/ 06 5 R- I j({)O ~IA Building Section Public Works Department Planning Department Fire Department City Clerk P.B I.A. 1I-14G I~ 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 Date . ~~~ Slgne~ Comments / Conditions ~ (S~\6 a...\ l'bvJ-e& ,^ PglA - GRf) CERTI FIC-~TE::()Ff;0cCCU P ANCY liP,>, '-~ /?--' City of Port Angeles~~:" . . /.. Building Division '\ ~hls C%fti[ic~twn Issued p.ur~uant to the re~Ulrem~nts of Sectl.o~ 09 of the Unifor"l(3u~ldmg C.ode c~rtifY.l1ig tha~.?!J the tIme of Is!uance thl~ st(iuc~u~e was m c~Jnplzance wlth the'varwus ordinances of the ,City regulatmg Buddmg H , ' construction or use~ For the following: , Use ClassIficatIOn RetaIl, BuIldIng Permit No: ~ BUSIness Name' _ Stuff for Home & Garden I U Group M i1 TyPe ofConstrucMn' V -N Use Zone' CBD ~ - #1 . ~ Owner of Business Sandra YV. Long Address 2935 East Bay Street Port AngelesNW A. 98362 \\ ' '1/'- ~t. _ , ' Building Address 106 North Lincoln Street ~ ' Port Angeles. W/A. 98362 '~7, .( cl%ber 3 2003 ~~ ",.<, ,{Date ._ p"~S place. _ ,...\/jiI~lding Official. ~~~ ';1 .c....f.. - , 11_ ". L....\\- .(- C- - U'-'h~e {. . r ./ L ' -~. -c <.. ~ \. ROUTING SLIP , 1., 'J Certificate of Occupancy $47.00 Certificate/Inspection Fee <tt5'17 DATE ~J ;).. } D 3 Address of ,roposed Business J 0(0 N. LI AJ(O&N Applicant 5A-"-lDR^ W. L-D N0 Address ~ C{ ?J 5 t:3" I (5 A '-I S r :PO,Q r ANG:,eLE~ vJ8 qg!:}b ~ Phone: business home 4~2.. - 901 D New Business ............................ Transfer of Business location. . . . . . . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . . . . . . . New Building .................... . . . . . . . . . Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ....................... Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . v legal Description: lo Current Use of Property: Zoning Classification of Property: Gao Will THERE BE ANY OF THE FOllOWING? YES NO -~ .; - -::r - ---v' -- ~- ..; - ---;- -- -+ -~ ~-L -:.L-~ --L- Construction changes . ., ,... "....... Electncal changes.. . Mechanical (heatmg, cooling, stoves) Plumbing changes New or relocated signs New septic tanks New sewer service AdmiSSion charged to patrons Is thiS a home occupalion? Excavalion 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 ~- ~- -2= 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. REJECTED BUilding Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. ..l\ ~,;t\. THE FOllOWING Will BE REQUIRED: PERMITS 1) Building 2) Plumbing 3) Electncal 4) Mechanical 5) Sewer 6) Sidewalk Installalion 7) Dnveway Installalion 8) Curb Installalion 9) Sidewalk obstruclion 10) Water meter Installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BUSINESS LICENSE 1) TaXI 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other Date: & I '2-1 0 3 .~ -uJ )etJ7Lr Signed: Comments / Conditions ~ o oq , Q ~ .t;p,... This certificate is issue certifying that at the t regulatzng building c Buszness name' Business address' Property owner. Property owner's Automatic fire sprz Use & occupancy c Building permit num Type of construction Occupant load. - 0' 6' z. {Y)~\l!~ {/2?J~ r ~. -.. ;5 v1 l' " CERTIFICATE OF OCCUPANCY APPLICATION Permlt# 08--602- CITY OF PORT ANGELES Attn BUilding Permit Technician 321 E Fifth St , Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 $50.00 $100 00 FEES Certificate / Inspection Parking Business Improvement Area (PBIA) fee charged for downtown locations - Pnnt In tnk Business owner's name Business owner's home addres~ll6(Q PLEASE NOTE: A Business License IS also required for the followtng bustnesses TaxI, Peddlers, Second-hand dealer, Pawn broker, Dance, Hotel- Motel, Fireworks, Ambulance, Tattoo shop Contact the City Clerk at 417-4634 for additional tnformatlon ACTION v' / New business V 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 Will THERE BE ANY OF THE FOllOWING? NO-/' YES-/' IF YES, CONTACT Electrical chanQes .L<. (>"..... ~1.W\.PX~ 1/"" Electrical Dept at 417-4735 New or relocated slans "T'\-);l ,10 A -\-() \-'Q ~'/'JoJ(\-t Il \tJ. :'~a", \,/"" BUilding DIVIsion at 417-4815 Construction changes t-S" f'e..r P\ ,+ ,^", 'o~pj v v " Mechanical chanQes (heating, coollnQ, stoves) oet- ~Y'n 1- V" " Plumblnq changes L/ " Fire sprinkler system changes v " Fire alarm system changes L,../ " Is thiS a home occupation? [.../' Planning 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 1/"" " Work done In the City right-of-way v " New driveway openlDgs V " GradlnQ site dralnaQe (parking lots, downspouts, etc) v " Landscape Irrlaatlon system (backflow deVices) v Water Dept at 417-4886 Off-street parking .r EXlstlnQ streets paved {,../ EXisting Sidewalks v Curb and gutter ....- Call for Certificate of Occupancy inspections before opening business: BUlldmg Department InspectIOn 417-4815 & Fire Department InspectIOn 417-4653 Please proVIde a mmlmum 24-hour notIce for mspectlons Please sign up for utility services at the cashier counter. I hereby apply for a Certificate of Occupancy I acknowledge that I have read thIS applIcatIOn and state that the mfo bon I have supplIed IS corect to the best of my knOwle~ge '. - ... Date S/IY:/-tJ?{ Print Name J{~ 'f--tLtYCl1LP..d Signature Forel! Approved Initials & date Department BUilding Fire PBIA Planning City Clerk Public Works Comments f Conditions I3vi Itl~h Occupant Load Automatic fire sprinkler system reqUired no yes T Forms/BuIlding DIVIsion/CertifIcate of Occupancy Application .JZ.- Parcel Lookup Page 1 of 1 .' Parcel Number 0630005116750000 Site Address 131 E FIRST ST PA I Print) [Quit I I Back I Taxpayer: ELKS LODGE 353 131 E 1ST ST PORT ANGELES, WA 98362-2902 Title Owner: NAVAL LODGE BPOE Description: SMITH, NORMAN R LOTS 17&18 EXC TX#1429 BL 16 Value Summary: Note: Listed values do not reflect adjustments made for exemption programs such as Senior/Disabled or Current Use programs (except Commercial Forestland properlies) Land Value' 162,000 Improvements Value, 1,412,200 Total Assessed Value 1,574,200 Property Characteristics: Note: Use Code IS for Assessor's purposes only Contact the appropriate planning or bUilding departments for Zoning and allowable usage of property, Use Code' 6992 PROF MEM ORG Land Size (acreage) 00 Note Acreage IS not listed for all properties In the Assessor's records More information about land size Tax Status Taxable Tax Code Area.. 0010 Note Zoning and zOning codes change constantly Verify all zoning With the appropriate planning or building department Building Characteristics: (Click on Bldg # for more details) JL Bldg. Type Bldg. Style Total S.F. BD BA 01 Two Story 26791 Tax History Sales History I Print I ~ I Back I 111.727.89011 http://apps.clallam.net/website/sitis -'p.pgm?parcel=0630005116750000 5/19/2008 ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee DATE ~2 i ~ ) ~ '-~ New Business ............................ Address of proposed Business Transfer of Business Location ................ Applicant .~:~'~)~}'D~./~' ~/, gD/~ New Building ............................. Address ~q ~)~- ~-' 1~/t:~'~ ,~- Remodel ................................. Phone: business home ~L,~-:Z. - ~]~2i 0 Change of Use ............................ Legal Description: Lofv'~ ~' Block Subdivision Current Use of Property: Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes ......................... ,.,/, PERMITS BUSINESS LICENSE Electrical changes ............................ ~/~' 1) Building 1) Taxi Mechanical (heating, cooling, stoves), v/ 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? ....................... V' 8) Curb installation 8) Ambulance Excavation of filling of lots ...................... ~/ 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way ................... V/ 10) Water meter installation 10) Other ts there sufficient off-street parking? .............. ~/ 11) Fire New driveway openings ...................... ~ 12) Occupancy A grading plan for site drainage ................... ~,/ 13) Sign (parking Iots, downspouts, etc.) .................. 14) Shoreline Are the existing streets paved? ............... *,/ 15) Home occupation Are there existing sidewalks? .................... v// __ 16) Conditional use Is there curb and gutter? ........................ V/ 17) Other hereby apply for a Certificate of Occupancy and acknowl- ~, edge that I have read this application and state that the Date: knowledge.inf°rmati°n l have supplied is c°rrect t° the best °f mY Signed: REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk EB.I.A. CERTIFICATE OFOCCUPANCY ~/,~ City of Port Angel~%~ ~?~' Building Division This C~ttiftcation issued pursuant to the requirements o c the Unifor~Building Code ceni~ing t~t at the time of iss~nce this, ~ was in c~piiance with the various ordi~nces of the Ci~ reg~ latin, ~ construction or use. For the following: Use Classification: get~ Building Pen~t No.: Business N~e: Stuff for Ho~e ~ ( Group: M ~ T~ofCons~ction: ~'N Use ~ne: C Owner of Business: Sandra~W. ~ng Po~ 98362 Building Aa~ess: 98362 2003 place. Shall not be ilding Official.