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Home My WebLink About416 E 1st St Ste 201 - BuildingR H E6JEJi''' 1 bS el `0 Q war a 1 S 1 h c C'_ V7etre axe. beic,K f 1 o w n 'e el s_ //mow (18-4 CERTIFICATE OF OCCUPANCY APPLICATION Permit# \9 -7ci2 o CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. PorttAngeles WA 98362 1.� fax- 601.4-1.7 -4711, Certificate Inspection ptu bis e4 .00 Parking Business Improvement Area (PBIA) fee charged for downtown locations G 6� r IC on ichivl f_ [SPr 4Gpt� BUSINESS ADDRESS 2 :8 sa S 6r>L /,v s i j #t 5i 34 Z. Zoning P Business mailing address »O /e10 k.'4 9436 Z Phone# (36 p) gog yy Opening date 8 .54E Days hours of operation in- se.- .5 BUSINESS NAIGC Washington State Tax I D 6ez -PZZ Brief description of proposed business „i 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 or City/ use on Department iuilding ire BIA la_ i. g I Call for Certificate of Occupancy inspections before ooenina. business. Building Department Inspection 417 -481.5 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections hereby apply for a Certificate of Occupancy supplied is correct to the best of my knowledge fL' )ate 7/7D 1 Print Name r-P/!'►a S lin le 7 rr WILL THERE BE ANY OF THE FOLLOWING? 4 Electrical changes New or relocated signs No S Iyn e.n' 'ed0 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/his business? Is there a curb gutter in front of this business? I Approved Rejected Initials date Initials date 1- ;II /Mvi-v1a s t'4 s s he's eth`h0. F E s 4 If known list the name of the previous tic Cuss me-. 7 0 business at this location L-6- b ¢-01. L, emPlatlees) (no, 1- r*rcl��A- hUS1Ple Business owner's name I Business owner's home address /7 /44,0 G l,•,.,,� L PLEASE NOTE. A Business License is also required for the following businesses, Taxi Peddlers, Second -hand dealer Motel, Fireworks, Ambulance Tattoo shop Contact the City Clerk at 417 -4634 for additional information. Signature Type of construction Automatic fire sprinkler system required Comments Conditions Phone* Lv.. 'Nov YES✓> IF YES CONTACT Electrical Dept. at 417 -4735 Building Div at 417 -4815, Please sign up•for utility services at the cashier counter I acknowledge that I have read this application and state that the information I. have Occupant Load no yes D' y s s Seckev- Pawnbroker Dance Hotel- Public Works at 417 -4807 Water Dept. at 417 -4886 Planning Div at 417 -4750 City Clerk at 417 -4634 How many spaces? J ilaA4 O(- It o 9 S 0 0 CERTIF Cit This certificate is is Code certing that of the City regulatin Business name Business address Property owner Property owner Automatic fire sp Use occupancy Building permit nu Type of construction Occupant load sued' ursuant to the requirements of Section 11`0tof the a hetirit ofissuance this structure was in compliance w building construction_lorause for the foilowrng< OIymp. Oral .1s St 'Ste'rs� 2®1 Rick Surratt;f, ddressP 424 S Oak, °St Rome, n k l e j s y s t e m Not Ret wi red= ass f cat Bu P` 09- 75;3'y .rn.i Ag a w a::� s:e,� af�Rok Ange ees Post on the premises in a conspicuous place. UPANCY ision 06 International Building the various ordinances Moss) 09/24/09 Date t be removed except by the Building Official. PREPARED 8/12/09 8 39 19 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/12/09 ADDRESS 416 E 1ST ST SUBDIV TENANT NBR OLYMPIC ORAL PROSTHETICS CONTRACTOR MARK S AMERICAN PLUMBING INC PHONE (360) 452 4548 OWNER RICK SURRATT PHONE (360) 808 2677 PARCEL 06 30 00 5 1 2805 0000 APPL NUMBER 09 00000753 PLUMBING REPAIR PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 8/12/09 l PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 01 8/12/09 MECHANICAL FINAL August 11 2009 9 43 00 AM 1pangrle THOMAS 452 6740 MECHANICAL FINAL OLYMPIC ORAL PROSTHETICS PLUMBING FINAL August 11 2009 9 45 32 AM 1pangrle THOMAS 452 6740 PLUMBING FINAL OLYMPIC ORAL PROSTHETICS COMMENTS AND NOTES Application Number 09 00000753 Date 8/11/09 Application pin number 528544 Property Address 416 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 2805 0000 Tenant nbr name OLYMPIC ORAL PROSTHETICS Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning PUBLIC BUILDINGS PARKS Application valuation 240 Application desc ADD A SINK TWO- BURNER STOVE AND VENT HOOD Owner RICK SURRATT 424 S OAK PORT ANGELES (360) 808 2677 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 10 6500 EA 1 00 50 0000 HR 1 00 1 00 1 00 Permit Fee Total Plan Check Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 7 0000 EA 7 0000 EA 15 0000 EA WA 98362 Fee summary Charged T:FormsBuilding Division/Building Permit MECHANICAL PERMIT ADD A VAPOR 150870 110 65 8/11/09 2/07/10 189 65 00 189 65 VENT HOOD Contractor BASE FEE PL- PLUMBING TRAP PL -WATER LINE PL -SEWER LINE 189 65 00 189 65 MARK S AMERICAN PLUMBING INC 420 E 11TH ST PORT ANGELES (360) 452 4548 BASE FEE ME HOOD /DUCT MECH EXHAUST ME ADDITIONAL PLAN REVIEW WA 98362 Plan Check Fee 00 Valuation 0 Extension 50 00 10 65 50 00 Permit PLUMBING PERMIT Additional desc ADD A SINK Permit pin number 150862 Permit Fee 79 00 Plan Check Fee 00 Issue Date 8/11/09 Valuation 0 Expiration Date 2/07/10 Qty Unit Charge Per Extension Paid Credited 00 00 00 Due 00 00 00 50 7 7 15 00 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. N I aitC4 apt05 `Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type 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 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. Date Accepted By PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I I ESA. Landscaping I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T.Forms /Building Division /Building Permit FINAL Date FINAL Date Comments Date Accepted By O 8 -12 -oq I �L ittY\ Accepted by Accepted by Cr- Print in ink BUSINESS NAME r Ora .0 s 4 BUSINESS ADDRESS /6 it $7L te f .7 v 4. 9� 3(; z Zoning i j r Business mailing address O /3 •/v0 j i- l 142-, GiJ4 5'/S' 36 Z Phone #(36 o) g0 Opening date I s4 P Days hours of operation JT 8.- S Washington State Tax I D If known list the name of the previous f(p Cusieme+l 6 0Z 5 Z Z /70 business at this location h-- -c-Pi Brief description of proposed business J 4-_ 1 d.. 6 v.rw 4-03. (fie.einp\oI4ee-S) mail- thrael- Business owner's name %`t owl, s L /)e Me 4 S Business- owner's home address //y/p, Lam✓% Z..a ,e_ PLEASE NOTE. A. Business License is also required for the following businesses. Taxi Peddlers, Second- hand Pawnbroker 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 PBIA location Transfer of business location from a non -PBIA location Change of ownership Remodel Temporary business Change of use CERTIFICATE OF OCCUPANCY APPLICATION Permit# 9 _76Z CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port WA 98362 (360) 417 -4815 fax (360) 417 -4711 v ILL THERE BE ANY OF THE FOLLOWING? I NO/ I I Electrical changes New or relocated signs Pte S ion �rtp.r�'�ri etl� Construction changes Mechanical changes (ventilation,)eating, 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 ofthis business? Is there a curb gutter in front of this business? 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 supplied is correct to the best of my�kn wledge j�/J Date I �5 Print Name �Ge ma S L 4 J t s' S Signature For Cit u s e only Department Building Fire PBIA Planning Approved Rejected Initials date Initials date Cit 3 -656 1e Puolic Vrlorrs 'rns/ ■n :on /Cei y kpolir he's e1 fI h O FEES tan i( ,I $50.0• Certificate Inspection ply rv.brn5 ek $1.x.00 Parking Business Improvement Area (PBIA) �ltt fee charged for downtown locations Type of construction Automatic fire sprinkler system required L.ad b`d ye k Se -f 1(, s i v U Sine' SS. Comments Conditions no Phone r P. 4 /Sw. YES/J.- IF YES CONTACT i/ Electrical Dept. at 417 -4735 Building Div at 417-4815 Please sign up for utility services at the cashier counter I acknowledge that I have read this application and state that the information I. have 7 Occupant Load Public Works at 417 -4807 Water Dept. at 417 -4886 Planning Div at 417 -4750 City Clerk. at 417 -4634 How many spaces? yes +4, ec kev- ‘,3 To Fire Department Other Department CITY OF PORT ANGELES BUILDING DIVISION TRANSMITTAL j, R Date 7-3o-o 9 Project Address E S 2- 0 1 Contact I hovn6 c be,M,OSS Phone number(s) g O 3 1 �f f Permit number 01-'753 Project Description Oka A_ a, Si v k i oC- bd rn e t ec,-1-r -i c c-) ye VarE to r `Fr- varors K 31 J oat IGevt b u b u -c. New Construction In ee-a 4 UeVteuJ ,tsa Alteration T Forms /Building Division/Transmittal Please review return to the Building Division, Permit Technician Applicant Property Property Contractor Contractor's License I s BUILDING PERMIT APPLICA TI II Print in ink CITY OF PORT ANGELES 4 Attn Building Permit Technician 'i o t VI c City Use Only 321 E Fifth St. Port Angeles WA 98362 2 aA Date Received 7- 3D -o9 Q Permit 0ci. =15'4 (360) 417 -4815 fax (360) 417-4711 Q R K° �S Date Approved S Q w p,04,04‘e` •S 1A 34,0 452 VP-10-' (1 h nr 0. s 'De_M 0 S S p.`c' ,,gu` t _3 Owner /2, ,.fi _h'�,r .cam Phone .3 0 -fr o f6 Zl4 77 r v� Owner's Address i/ /6 t s� G; e,s w /4 9g 3 b 2- /Via/IL 3 k ma- 's A�vy�>°,+ic if(urnb 36 o -95Z- y 5yS Address i{Z 1 t- /A i sic 1 1"✓f `V 33( Z Expires E- r4iail PROJECT ADDRESS y 36 Z Parcel Number No r Or6. //o 5 9 L if c 5 Lot Zoning It .g F Project Type Brief Description. Residential .Multi- family Commercial Industrial Check all that apply New Construction i vi p t�- Addition �\n`it emodel e i S; ex,- vv,a o_l- Iw�c,".h 1'ri ,l lw.e 7 r0 Repair 1 4 ..r ,-1 0Up-f4n,e-� -(L r (JP 1-, /e /,'p Demolition r „n tA, ,i- o c.S f" C, ‘l 4 Neka oc.. r tvi' Re -roof dl-louse o g other tear off re -roof lay over one layer I 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. 1 Floor N 2 Floor 3 Floor Garage A V Carport Covered Porch “laskenti.1 S I2.G) Deck v: b�. 17-6 Shed Other a Total footprint of structures sq ft. T Lot Site Coverage the amount of impervious, urface on a and other impervious surfaces. (see PAMC 7 94 Max height of proposed structures ft Occupancy group Will a lawn sprinkler system be installe• •ccupant load Will a fire sprinkler system be instal Co •struction type '1�e �e�r line build n� 1.1 4 1 r TOTAL VALUATION s e sq ft. Lot coverage cel including structures paved driveways, sidewalks patios 5 for exemptions) Site coverage of bedrooms of full baths of half baths Z LI- O 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, Qd to obtain permits prior to working on projects. /3 Date 0 Print Narne !/L0 -rIc. /<'l SS Signature 7 L e, o T FormsBuildf Division /Bldg Perm doc icp T. J L .-__f S 9 t /44 t L i cz, 414:- 2 d FILE ,SNk- 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 from thereafter requiring the correction of errors in said plan specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdictio Approval Date k' 4--tic ✓1 Akpfrotiok J rc- 1. Print in ink BUSINESS NAME r Oral peps S Opening date As4p Days hours of operation 44— B Washington State Tax I D If known list the name of the previous g cus 6 ez_ Rzz —/70 business at this location 4-1 Brief description of proposed business I) I N) 4.--u,...1 1.-.6, too-rt.-4-ov L (v.to einp1oLkees) in,a, I dreier usiness, I Business owner's name %`lvyvta s L /42/0e, De /no s S Phone Business owner's home address /7 7 s 3 L Lie_ Se p.. r..., c,' g y, 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. 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 CERTIFICATE OF OCCUPANCY APPLICATION Permit 9 --IQ— CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. PortAngeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Iv ,WILL THERE BE ANY OF THE 'FOLLOWING? Electrical changes New or relocated signs No S lcm C'Ve. c'ed Construction changes Mechanical changes (ventilation ,)leating, 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 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 supplied•is correct to the best of my�kn wledge Date f 7 17o Print Name vim S For Cit/use on/ Rejected Initials date ,��n Wei P�+ t- e ype of construction 5—oq 1 aI 69 7 /..9—O' 1) Public Works Department Building Fire PBIA Planning City Clerk T -orrnsl6..diny Division /Cer'dh Approved I als dat O 'occupancy Apoli it; n e �io S S Signature he's 5e 1-6h 0 EES. nmet $50.0. Certificate Inspection pturyii54 n3 ems $1I .00 Parking Business Improvement Area (PBIA) fee charged for downtown locations /S3 NO/ YES/ IF YES CONTACT Electrical Dept. at 417 -4735 I Building Div at 417 -4815 D Comments Conditions 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 I acknowledge that I have read this application and state that the information I have yes 4.4 AV sr" .64 Nr.s, "At a: !t, 4-; 4 At, 4-•