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HomeMy WebLinkAbout420 E 1st St - Building Certificate of Occupancy 420 E 1St St 13 - 86 • cyOO 7 CERTIFICATE OF OCCUPANCY City of Port Angeles - Building Division This certificate is issued pursuant to the requirements of Section 111 of the 2009 International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use for the following: Business name: Revolution Church s§' Business address: 420 E 1St Street Business owner: Revolution Church Business owner's address: 2018 Westview Dr Port Angeles, WA 9836.2 Automatic fire sprinkler system: N/A Use & occupancy classification: Business - Occupant load: Per 2009 IBC, Table 1004.1.1 Type of construction: VB_ rie.,,,,/ , . i - I i 4/12/2013 Sue Roberds,Pl# '''ngManager Date Post on the premises in a conspicuous place. This certificate shall"not be removed except by the Building Official. o O(> 44>0 4:Z e' zrAAf�'` CERTIFICATE OF OCCUPANCY APPLICATION Permit# AA,„ cam`.r s P�� FEES CITY OF PORT ANGELES $50 Certificate / Inspection_,C/ Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA) (360)417-4815 fax (360)417-4711 fee charged for Downtown locations PLEASE PRINT IN INK Check one: New business in P.A.?LI Change of ownership only? LI Moving location from within P.A.? LI Zoning n BUSINESS NAME RQ.J�1U�a•� C le")4_0.N Business address 2.e-1-6 ,0A. L120 t \`i' Mailing address Zoic WQsi-v ew i& Phone number 3m)- X111.-2 GIS Opening date Days & hours of operation Business owner's name Re JV l„for C1/4,j Contact phone `11 1-Ins Business owner's address 201W WESt4:ew A;4e, Brief description of business OA,J u*'. 0.4 Property owner's name R4,4. 5ulc 4- Contact phone Cb(A" 201 Property owner's address/contact l 1-70,94r4 Pc;+ AIle les W A BUILDING DEPARTMENT phone 417-4815 Bldg approval by `/- • on /2- 3 Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No X Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc). Work planned: FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes LI No �1 Work planned: PBIA (Parking Business Improvement Area -Downtown) phone 417-4623 Square footage of business? PBIA notified on Is business moving within the PBIA? Yes LI No X CITY CLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business?Yes LI No k Will there be dancing at this business? Yes LI No Xl A City of Port Angeles Business License is required for: Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance, Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on Number of off-street parking spaces available for employees and customers? (A parking plan may be required.) Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?) Signs planned: �{ & PLEASE NOTE: NO flashing, intermittent,or chasing signs are permitted in the City of Port Angeles. PWE approval by on PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 Is site work planned (new or re-located sewer or water service, excavation, grading or filling, work in City right-of-way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes No r Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes I No 4 If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter. 1 hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information / have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. Dateii ,�3"13 Print Name..V�Sn•, � i n,w.L���YGj$n Signature J;;,,— T\Forms\Building Division\Certificate of Occupancy Application(2010)doc t1 Page 2 of 2 PREPARED 1/24/13, 8:47:51 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/24/13 ADDRESS 420 E 1ST ST SUBDIV: CONTRACTOR PHONE OWNER . . : RICK SURRATT PHONE : PARCEL . . : 06-30-00-5-1-2805-0000- APPL NUMBER: 13-00000086 CO- CHANGE OF OCCP/USE PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RE LIWF - -, CO1 01 1/24/13 JLL LDG C/O INITIAL INSP * •� •• .- EN RTHOL DATE: 01/24/13 TIME: 08:27:37 January 24, 2013 8:28:41 AM pbarthol. Jason 477-2025 4) COMMENTS AND NOTES ( PREPARED 3/17/11 8 05 32 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/17/11 ADDRESS 420 E 1ST ST SUBDIV TENANT NBA RICK SURRATT CONTRACTOR PHONE OWNER RICK SURRATT PHONE (360) 808 2677 PARCEL 06 30 00 5 1 2805 0000 APPL NUMBER 10 00001337 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 3/17/11 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS MECHANICAL FINAL March 15 2011 4 35 19 PM 1pangrle KELMIE 809 0401 MECHANICAL FINAL SHE PREFERS A MORNING INSPECTION PLEASE CALL HER 10 MINUTES BEFORE YOU GET THERE PL2 01 11/22/10 PB PLUMBING ROUGH IN TIME 01 00 11/23/10 CA November 19 2010 4 14 36 PM 1pangrle RICK 808 2677 PLUMBING ROUGH IN AFTERNOON PLEASE CALL HIM 10 MINUTES BEFORE YOU GET THERE unable to inspect because of snow reschedule inspection PL2 02 11/29/10 JLL PLUMBING ROUGH IN TIME 01 00 11/30/10 AP November 23 2010 4 40 59 PM 1pangrle RICK 808 2677 ROUGH IN PLUMBING AFTERNOON PLEASE CALL HIM 10 MINUTES BEFORE YOU GET THERE November 30 2010 9 28 01 AM jlierly PL99 01 3/17/11 Jai PLUMBING FINAL March 15 2011 4 36 42 PM 1pangrle KELMIE 809 0401 PLUMBING FINAL SHE PREFERS A MORNING. INSPECTION PLEASE CALL HER 10 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES PREPARED 11/29/10 8 22 00 CITY OF PORT ANGELES ADDRESS 420 E 1ST ST TENANT NBR RICK SURRATT CONTRACTOR OWNER RICK SURRATT PARCEL 06 30 00 5 1 2805 0000 APPL NUMBER 10 00001337 MECHANICAL APPL PERMIT PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 11/22/10 PB 11/23/10 CA PL2 02 11/29/10 INSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV PHONE PHONE (360) 808 2677 PLUMBING ROUGH IN TIME 01 00 November 19 2010 4 14 36 PM 1pangrle RICK 808 2677 PLUMBING ROUGH IN AFTERNOON PLEASE CALL HIM 10 MINUTES BEFORE YOU GET THERE unable to inspect because of snow reschedule inspection PLUMBING ROUGH IN TIME 01 00 November 23 2010 4 40 59 PM 1pangrle RICK 808 2677 ROUGH IN PLUMBING AFTERNOON PLEASE CALL HIM 10 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES PAGE 10 DATE 11/29/10 sp 42 °J- 0 S03.--Vcrl VYN tiA-e_ b eCCDre yo u 4\ore__ PREPARED 11/22/10 8 26 38 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/22/10 ADDRESS 420 E 1ST ST SUBDIV TENANT NBR RICK SURRATT CONTRACTOR PHONE OWNER RICK SURRATT PHONE (360) 808 2677 PARCEL 06 30 00 5 1 2805 0000 APPL NUMBER 10 00001337 MECHANICAL APPL PERMIT PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 11/22/10 JLL PLUMBING ROUGH IN TIME 01 00 November 19 2010 4 14 36 PM 1pangrle RICK 808 2677 PLUMBING ROUGH IN AFTERNOON PLEASE CALL HIM 10 M INUTES BEFORE YOU GET THERE COMMENTS AND NOTES C "A/k2)1 Application Number 10 00001337 Application pin number 132276 Property Address 420 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 2805 0000 Tenant nbr name RICK SURRATT Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 200 Application desc INSTALL A WASHER /DRYER VENT FAN Owner RICK SURRATT 424 S OAK ST PORT ANGELES (360) 808 2677 Structure Information Construction Type Occupancy Type Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 1 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 1 00 1 00 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 7 2500 EA 10 6500 EA 7 0000 EA 7 0000 EA 15 0000 EA WA 98362 Fee summary Charged T:Forms /Building Division /Building Permit 000 000 WASHER /DRYER VENT FAN TYPE V NON RATED BUSINESS OFF /PRO /MED /REST MECHANICAL PERMIT VENT FAN DRYER 177386 67 90 Plan Check Fee 00 11 /15 /10 Valuation 0 5/14/11 Per PLUMBING PERMIT 177394 79 00 11/15/10 5/14/11 Permit Fee Total 146 90 Plan Check Total 00 Grand Total 146 90 Contractor OWNER BASE FEE ME VENT FAN (SINGLE DUCT) ME STOVE /FIREPLACE /MISC APP BASE FEE PL- PLUMBING TRAP PL -WATER LINE PL -SEWER LINE Paid Credited 146 90 00 00 00 146 90 00 Date 11/15/10 Plan Check Fee 00 Valuation 0 Due Extension 50 00 7 25 10 65 Extension 50 00 7 00 7 00 15 00 00 00 00 REPORT SALES TAX on your state excise fax 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 loca»aw regulating construction or the performance of construction &R1 I I-(5 /0 u1212�� Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES. Footing Slab Blocking Hold Downs Skirting 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 it II- 2-4 —to Inspection Type FINAL Date J A ccepted by al L FINAL Date PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 it- Date Accepted By Applicant Property Owner C iR,4 r i Property Owner's Address /2Cp ti) 6-A, Contractor ©li9 WC= �2 Contractor's Address License PROJECT ADDRESS ij2 C P CT 49•2T OQ e a c y fi Snit Parcel Number Lot Zoning Proiect Type Brief Description. Check all that apply New Construction Addition ,r Remodel Repair Demolition Re -roof Heat System Other Floor Areas Ex (sq. ft.) 1 Basement 1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Date?(-/ /PC 10 DA) Print Name T Forms /Building Division /Building permit application BUILDING PERMIT APPLICA CITY OF PORT ANGELES Attn Building Permit Technician 321 Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Ft Y Residential Expires G✓A Sh /2 .Qi rte Hou'se garage other Heat pump wood burning stove Proposed (g. ft.) ft. Occupancy group Occupant load Construction type f( SJ uPPA- Tr gas fireplace pellet stove r Phone Phone TOTAL VALUATION Signature Phone E -mail TION Pnnt in ink For City Use Only Date Received i1-16 -10 Permit (0— t3'31 Date Approved Multi family ,a- Commercial Industrial H 'o K u (/t w7 tear off re -roof lay over one layer other per sq ft. 44 Zoo Total footprint of structures I sq ft. T Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage 1 Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? I have read and completed this application and know it to be true and correct. I am authorized to a that it is my responsibility to determine w t permits are quired, and to obtain permits prior to wo of bedrooms of full baths of half baths d patios Iy for this p -rmit and understand Vi Application Number 10 00'001251 Application pin number 966363 Property Address 420 E ITH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 2820 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc 2 circuits Owner HOPFNER EDWARD A 1234 E 6TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983626623 ELECTRICAL ALTER COMMERCIAL Signature of owner or Electrical Contractor X 1 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Contractor SHAMP ELECTRICAL CONTRACTING PO BOX 383 PORT ANGELES (360) 452 1689 176271 76 10 Plan Check Fee 10/28/10 Valuation 4/26/11 Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 76 10 00 76 10 Paid Credited 76 10 00 76 10 DATE. PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION 00 00 00 Date 10/28/10 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) RESULTS WA 98362 00 0 Extension 73 50 2 60 Due 00 00 00 INSPECTOR. P P ri Date. 1 10/27/2010 10 16 FAX City of Port Angeles Permit Application Building DivlslonlElectrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph, (360) a17.4735 Fax: !360)417 4711 ate 0 /21 20 j() 1 Single Family Dwelling C ulti•Family or Commercial' ommercial Addition I Alteration Remodel Repair Plan Review M Job Address: Building Square F age Description of above Unit Charge 119.90 145,50 204 60 262 20 372.50 2.60 73.50 5 2,60 92.70 11030 148.70 167.90 95 90 5 66.20 95.90 63.90 63 90 119.90 $102 30 110 30 S 35 20 73.50 110.30 56.00 .vP••. •e pie Owner InforgatiCill Name: r,r Mailing Ada! s: i i0" Oily' Y, CIA 4.5 St e: r Zip: Phon gnus: ax License Exp. E =ctr cal Plan Review Information Sheet A4,014‘: Name Mall' Ci( Phone, License t< Exp. RECEPTED OCT 2 2009 ELECTRICAL INSPECT/0Z Contractor In Lion A II I TZ :41 Z ir, i Al Address ,w n Al Total (Olv Multiolfed by Unit Charge) Service /Feeder 200 Amp I Service/Feeder 201 -400 Amp, S I Service/Feeder 401 -600 Amp I Service/Feeder 601 -1000 Amp I Service/Feeder over 1000 Amp I Branch Circuit W/ Service Feeder Branch Circuit W/0 Service Feeder 1 -100 Each Addltonal Branch Circuit Temp. Service/ Feeder 200 Amp S Temp. Service /Feeder 201 -400 Amp. Temp, Service /Feeder 401 600 Amp. Temp. Service/Feeder 601.1000 Amp. Portal to Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy Commercial. Additional 1500 $5 00 Signal Circuit/ Limited Energy 1 2 Family Dwelling S Signal Circuit/ Limited Energy Muli•Family Dwelling Manufactured Home Connection Renewable Electrical Energy SKVA System or Less First 1300 Square Ft Each Add,bonat 500 Square Ft. or Portion of Each Outbuilding or Detached Garage S Each Swimming Pool or Hot Tub S TRemrostaI Total r Z 001/002 -not S4taurviiiit )-16v up prrvit Alikt bp) Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit Is finalized (2) Owner is required to hire an electrical contractor h above said property is for sale, rent or lease, Permit expires after six months of last inspection, After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical Installatloq or alteration In compliance with the electrical laws, N.E.C. RCW Chapter 19.29, WAC, Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator Check x Date: Credit Card if D Ceah 1 k CERTIFICATE C UPANCY Automatic fire sprinkler system. Use occupancy classffiCation. Occupant load. Building permit numbe Type of construction. pity 'Of Port Angeles:-'13tiii4iii,t Division 41' This certificate is issuedpupueint,to4he requirements of Section 110 of the 2006International Building Code certifying that at the tiicieeofisSiginCeltiiiS4structure was in compliance with the various ordinances of the City regulating building cOnstruCti*Or lUse 't Business name k Dragonfly Heajing Oirrier Business address fi 42O€1 st St. Property owner Rick Surrai Property owner s address 424 S Oak St, Port pAeles $'62 Per IBC Business 06-17-10 Date Post on the premises in a conspicuous place. This eiftifititeshall not be removed except by the Building 8 2 PREPARED 6/03/10 8 43 21 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/03/10 ADDRESS 420 E 1ST ST SUBDIV TENANT NBR DRAGONFLY HEALING ARTS CONTRACTOR SPIRES ROOFING PHONE (360) 477 3095 OWNER RICK SURRATT PHONE PARCEL 06 30 00 5 1 2805 0000 APPL NUMBER 10 00000501 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 5/28/10 JLL BLDG FRAMING 5/28/10 AP May 28 2010 8 39 47 AM 1pangrle CALVIN 477 3095 FRAMING May 28 2010 3 28 14 PM jlierly BL99 01 6/02/10 JLL BLDG FINAL 6/02/10 DA June 1 2010 9 06 18 AM pbarthol Tyler 477 3095 June 2 2010 4 56 15 PM jlierly no answer left message/j11 BL99 02 6/710 JLL BLDG FINAL TIME 01 00 June 3 2010 8 40 03 AM 1pangrle (1 TYLER 809 I41 BUILDING FINAAL INTERIOR WALLS WERE ADDED AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN MEET YOU THERE COMMENTS AND NOT PREPARED 6/02/10 9 02 10 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 420 E 1ST ST SUBDIV TENANT NER DRAGONFLY HEALING ARTS CONTRACTOR SPIRES ROOFING PHONE (360) 477 3095 OWNER RICK SURRATT PHONE PARCEL 06 30 00 5 1 2805 0000 APPL NUMBER 10 00000501 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 5/28/10 JLL BLDG FRAMING 5/28/10 AP May 28 2010 8 39 47 AM 1pangrle CALVIN 477 3095 FRAMING May 28 2010 3 28 14 PM jlierly BL99 01 6/02/10 J cY/ June 1INAL June 1 2010 9 06 18 AM pbarthol Tyler 477 3095 COMMENTS AND NOTES PAGE 2 DATE 6/02/10 PREPARED 5/28/10 8 41 19 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/28/10 ADDRESS 420 E 1ST ST SUBDIV TENANT NBR DRAGONFLY HEALING ARTS CONTRACTOR SPIRES ROOFING PHONE (360) 477 3095 OWNER RICK SURRATT PHONE PARCEL 06 30 00 5 1 2805 0000 APPL NUMBER 10 00000501 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 5/28/10 BLDG FRAMING May 28 2010 8 39 47 AM 1pangrle CALVIN 477 3095 FRAMING COMMENTS AND NOTES Application Number 10 00000501 Date 5/26/10 Application pin number 700230 Property Address 420 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 2805 0000 Tenant nbr name DRAGONFLY HEALING ARTS Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 800 Application desc ADD INTERIOR WALLS Owner RICK SURRATT 424 S OAK ST PORT ANGELES Structure Information Construction Type Occupancy Type Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 3 00 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 T:FormsBuilding Division/Building Permit SPIRES ROOFING PO BOX 2673 PORT ANGELES (360) 477 3095 000 000 ADD INTERIOR WALLS TYPE V NON RATED BUSINESS OFF /PRO /MED /REST WA 98362 Contractor BUILDING PERMIT COMMERCIAL ADD INTERIOR WALLS 165613 59 15 Plan Check Fee 38 45 5/26/10 Valuation 800 11/22/10 Unit Charge Per BASE FEE 3 0500 HND BL -501 2K (3 05 PER C) Special Notes and Comments A minimum 2A 10BC fire exinguisher is required Extinguishers must be mounted with the top no more than 5 off the floor Suggested extinguisher placement is adjacent to an exit Charged 59 15 38 45 4 50 102 10 Paid Credited Due 59 15 38 45 4 50 102 10 00 00 00 00 WA 98362 Extension 50 00 9 15 STATE SURCHARGE 4 50 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 corr ct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a per i does not presume to give authority to violate or cancel the provisions of any state or local law regulatin construction o the perrff rrmance of c %nst ton. 1 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 00 F 1 4/ ed 00 00 00 3 —10 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 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 I 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 I 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 Date 5 -28-10 Accepted By Comments FINAL Date Accepted by FINAL Date Accepted by SEPA. ESA. SHORELINE. N f v FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Q Electrical 417 -4735 3 Construction R W PW Engineering 417 -4831 7) Fire 417 -4653 Planning 417 -4750 p p Building 417 -4815 CI 3 -10 1` L7 Q g l-- T:Forms /Building Division /Building Permit I BUSINESS NAME )y J '11161A i VIA BUSINESS ADDRESS J '.4.. 0 J Frtic,l- v- S- Zonin e p Business mailing address •"o 'E?pk 144 PA: 3(_ Phone 2 XOP). 010 I Opening date 572_,.i-t J in Days hours of operation Washington State Tax I fi If known list the name of the previous 1 p business at this location DULS:Sco-e-ilieratou httisIlips eA_I I>16 eta t I/ 1 J I 1 hlL�W o Phone# I I Brief description of proposed business Business owner's name I Business owner's home addres -Fhn 1es 1J Pr 0 J PLEASE NOTE. A Business License is also required for the following businesses. Taxi Peddlers Second -hand dealer Pawnbroker Dance Motel Fireworks, Ambulance Tattoo shop Contact the City Clerk at 417 -4634 for additional information. WILL THERE BE ANY OF THE FOLLOWING? I NOV YES/ 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 Cal/ for Certificate of Occupancy inspect ions 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 I have supplied is correct to the best of my owledge Date -1 '9 11 n Print Name ON l A- 1 For City use only Department Building Fire PBIA Planning City Clerk Public Works Print in ink ACTION CERTIFICATE OF OCCUPANCY APPLICATION Permit# 10 -A 99 CITY OF PORT ANGELES I 5 t)u' trig Pb n tj- S: FEES Attn Building Permit Technician ICI SO 321 E. Fifth St. Port Angeles WA 9836 $5 Certificate Inspection (360) 417 -4815 fax (360) 417 -4711 $100.00 Parking Business Improvement Area (PBIA) fee charged for downtown locations Approved Initials date T:Forms /Building Division /Certificate of Occupancy Application Electrical changes v New or relocated signs i nS.LA P 4 Nitae, or fo r 1 I Construction changes {,c;tg; i n or mcyn ►r lS ner -rn1 Mechanical changes (ventilation, heating, cooling, etc.) I 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? Rejected Initials date Type of construction Signature' J J I read thi, applic ion and state,. #hat Ithe i frrmation I have Comments Conditions Automatic fire sprinkler system required no oh 1 y her- a c 0-her- et cye�s 403 sg +4_ Occupant Load Hotel- IF YES CONTACT Electrical Dept. at 417 -4735 Building Div at 417 -4815 I 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 One_ irvte -tq -4o Sue +a1Ked (4. `the a•fP 1 ica►T1- obou1- Print in ink ,PMAN,NU Recato M u '3 'z-o J -a41- v l- zonin C p Business mailing address "}'o 'PA( 94' .-P4, -to' (9a Phone ?,(,oO- X0 04 Opening date 5/2d-t I In Days hours of operation Washington' State Tax I li g If known list the name of the previous i n business at this location Brief description of proposed business (Y�(tS S tve__ 1 2 U ItA.Sthe S at-e60 P t;i r dhlR,Ke- o BUSINESS NAME BUSINESS ADDRESS Business owner's name Phone Business owner's home address 2 )4- (L) -ror Jj10(? \k- PLEASE NOTE. A Business License is also required for the following businesses Taxi Peddlers Second -hand dealer Pawnbroker 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 1 -1 4 9 CITY OF PORT ANGELES Spy? vi crl5 Eery, FEES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 9836 2 (360) 417 -4815 fax (360) 417 -4711 $100.00 Parking Business Improvement Area (PBIA) fee charged for downtown locations J WILL THERE BE ANY OF THE FOLLOWING? NOV Electrical changes New or relocated signs )nsi �e 4-he bittndot or Construction changes louttdtnj iniehcr rooms 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? Cal/ 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 I acknowledge that I have read this applic supplies is correct to the best of my owledge Date 5 Print Name -OL. For City useQnly Departrkenn Building Fire PBIA Planning City Clerk Public Works DD 6hilao Sk 5 12!101 1 *al In jV 5124 lei T:Forms /Building Division /Certificate of Occ pancy Application A 'tad kl I It date Initials date _4 »4. 4" I'({ -Si X 13110 Bail Type of construction $5 Certificate Inspection k X0-501 Signatur YES✓ 1' 1 Comments Conditions Automatic fire sprinkler system required no ohly her a c Nerd 1 o Sher em® lo 1 403 sg Occupant Load Dance Hotel- 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 on and state that .he i rmation I have yes at- one_ Me 519 -►0 Sue I u 1 --Hn e li 4011 r nvi aitochu'i- oti4< it 1 /ivrtai R- V Y 7 2- /A/5 57 1 iE 7 Roc-/< ProFos-e6( T° &ATE_ 70 AC A/S7 FA se_ c-E4c /416- I t 5? 5 f f (3 12 —4 ti.it 4. w Wor ff q v l OYfr F r ±i c('.5 i y5, Clallam County Assessor Treasurer Property Details 61547 RICK SURRATT for Y Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 61547 RICK SURRATT for Year 2010 2011 Property Account Property ID 61547 Legal Description SMITH, NORMAN R LOT 7 BL 28 Geographic ID 0630005128050000 Agent Code Type. Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 69 Open Space: N DFL N Historic Property N Remodel Property N Multi Family Redevelopment: N Location Address: 416 E FIRST ST Mapsco PORT ANGELES WA 98362 ,,N(� Neighborhood Cycle 5 Comm Map ID _S Neighborhood CD 20953140 Y Owner Name RICK SURRATT Owner ID 55072 Mailing Address. 424 S OAK ST Ownership 100 0000000000% PORT ANGELES WA 98362 Taxes and Assessments Due Property Tax Information as of 05/19/2010 Amount Due if Paid on M. Exemptions: First Second Half Half Statement Base Base Base Amoy Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Due 2010 44253 ST SCH STATE SCHOOL $153 04 $153 04 $0 00 $0 00 $153 04 $153 2010 44253 CC -GEN COUNTY $81 43 $81 45 $0 00 $0 00 $81 43 $81 2010 44253 PORT PORT $11 44 $11 45 $0 00 $0 00 $11 44 $11 2010 44253 PORT ANG PORT ANGELES $188.56 $188 57 $0 00 $0 00 $188 56 $188 2010 44253 SD #121 SCHOOL DISTRICT #121 $198.22 $198.23 $0 00 $0 00 $198.22 $198 2010 44253 NTH OLY LIB NORTH OLYMPIC LIBRARY $23 66 $23 67 $0 00 $0 00 $23 66 $23 2010 44253 HOSP #2 HOSPITAL #2 $33 41 $33 41 $0 00 $0 00 $33 41 $33 2010 44253 WSMET PK DIST WILLIAM SHORE MET PARK DIST $10 63 $10 63 $0 00 $0 00 $10 63 $10 2010 44253 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $36 00 $36 2010 44253 WEED CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $0 82 $0 2010 44253 TOTAL. $737.21 $737.26 $0.00 $0.00 $737.21 $737 2009 615472008 ST SCH STATE SCHOOL $178 60 $178 60 $0 00 $0 00 $357.20 $0 2009 615472008 CC -GEN COUNTY $90 39 $90 38 $0 00 $0 00 $180 77 $0 2009 615472008 PORT PORT $12.80 $12 81 $0 00 $0 00 $25 61 $0 2009 615472008 PORT ANG PORT ANGELES $198.26 $198.25 $0 00 $0 00 $396 51 $0 2009 615472008 SD #121 SCHOOL DISTRICT #121 $220 87 $220 87 $0 00 $0 00 $441 74 $0 2009 615472008 NTH OLY LIB NORTH OLYMPIC LIBRARY $26.26 $26.27 $0 00 $0 00 $52 53 $0 2009 615472008 HOSP #2 HOSPITAL #2 $37 07 $37 07 $0 00 $0 00 $74 14 $0 2009 615472008 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 $0 http. /vpn.clallam.net:8084/ propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =61 5/19/2010 Floor Areas Applicant Property OJvher Property Owner's Address Contractor Sp// S R Phone Contractor's Address 2/y L✓ S- 5i License 2 t 2 7 13 5 Expires 7. 2or2 E -mail PROJECT ADDRESS Parcel Number Project Tvpe Brief Descriptio Check all that apply New Construction Addition A Repair Demolition Re -roof Heat System Other Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Existing \1 A Total footprint of structures sq Site Coverage the amount of impervious s and other impervious surfaces (see PAMC Max. height of proposed structures Will a lawn sprinkler system be installe Will a fire sprinkler system be install l? BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Techniciah 321 E Fifth St. Port Angeles WA 98362 (360) 417-4815 fax (360) 417 -4711 /,2.o t l S i7 House garage other Heat pump wood burning stove Proposed (sg. fL) I 1 Lot size c sq ft. e on a parcel including structures ved 94 135 for exemptions) Occupancy group Occupant load Construction type For City Use Only' Date Received 5 -\"t t Permit ld —SO Date Approved, Ph I nd 3co aog ©yo/ Phone 3 6Q oS 2-G ?7 3Go x/77- 30 5 7 t R(A/5PlieES @oL.YPE.V 5 bpi a o k 14ea.lin kt Lot Zoning n. Residential Multi family Commercial Industrial A i M S r i a v° ;,10+.115 c, rei4 1, /0 >rar Work .1 11 CllO &M._ t\ tar MISS t A P1' Pep .11il okavle r tear off re -roof lay over one layer gas fireplace pellet stove other per sq ft. TOTAL VALUATION In6rierieJ 5 `ion W90 r of bedrooms ull baths of 'alf baths g ©O Lot coverage iveways sidewalks patios Site coverage 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 lb obtain permits prior to working on project 5 l9- /o Print Name 7/L&2 w SP /RS Signature T Forms /Building Division /Building permit application ,NTH o R- wAG2 -5 ?'/Xy"' 7' 1( S/ Fro()0s-e6( TQ PLATE- Tt 3� A r ,isr 1,AG.sE- G- C 7� H41 )s c) ,411 5? $1ff ,c Qs,1/4- \00 Kb\: A- k‘9 x t 4 e 0%) W ear k� 4 CITY OF PORT ANC's :L Construction Plana The Issuance of this perm t based upon these plans, specifi- cations and other data shy ?t 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 an thereunder when in violation of all codes ant ordinances of this jurisdiction. Approval Date tgbsgf thia 41,t, w >a PI k By u I FILE 0.1,6(0 Pge SA-fa►Se 4 APYRtI \i"FD BY 111.14. DEPT S.Zt ZOtiO DA i 1, 2.c21 64) 1 ti 0•- CERTIF Ci This certificate is issue. Code certifiing that of the City regulatin! Business name Business address. Property owner Property owner saddis 4 Automatic fire spt maetAsystem Use occupancy aspfication. Building permit nu berg Type of construction\ Occupant load. 1 I RAV Post on the premises in a conspicuous place. i rvant to the requirements of Section 11 Angeles Bus'eretgar 09- 82. qm" os‘f,eNissuance'this-Oructure 11'CLS in coinpliance onstruconr use „„orthefollaw,m ‘ellnegs,, o 1E. 1 st St Rick Sureatt 24S 04KL, Peeit' EP 4 3q, 4 ,0 UPANCY Ision 6.InternatiOnal Building the various ordinances 07/16/09 Date t be removed except by the Building Official. MaLLA 1 it 09 PREPARED 5/13/09 8 50 05 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/13/09 ADDRESS 420 E 1ST ST SUBDIV TENANT NBR FIND WELLNESS NOW CONTRACTOR PHONE OWNER RICK SURRATT PHONE PARCEL 06 30 00 1 2805 0000 APPL NUMBER 09 00000182 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS CO9 01 5/13/09 BLDG C/O FINAL TIME 03 30 OVERRIDE TAKEN BY LPANGRLE DATE 05/13/09 TIME 08 43 15 May 13 2009 8 41 49 AM 1pangrle DEBBIE 460 6367 C OF 0 FINAL FIND WELLNESS NOW PLEASE INSPECT 3 30 PM OR LATER SHE GETS THERE ARE 3 30 PM COMMENTS AND NOTES Print in ink BUSINESS NAME /_;,.,r_ CVs BUSINESS ADDRESS .4"./c Business mailing address G-. Opening date 3 /o9 Washington State Tax I D Days hours of operation n, r r If known list the name of the previous business at this location Brief description of proposed business LJ c. 5 i, L. css 4 c, c. F. t (2 lc_,6 s e.S Business owner's name 0,1 Business owner's home address PLEASE NOTE. A Business License is also required for the following businesses Taxi Peddlers Second -hand dealer Pawnbroker 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 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 1 hereby apply for a Certificate of Occupancy supplied is correct to the best of my knowledge Date 4q� q Print Name e bbLi r" 40 For City use only: t Department Building Fire PBIA Planning City Clerk Public Works CITY OF PORT ANGELES Attn Building Permit Technician ($50 00 321 E. Fifth St. Port Angeles WA 98362 $10000 (360) 417 -4815 fax (360) 417 -4711 CERTIFICATE OF OCCUPANCY APPLICATION permit #61 18 Approved Rejected N Initials 84,date Initials date WILL THERE BE ANY OF THE FOLLOWING? Electrical changes New or relocated signs ec in 'nci 00J 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? I acknowledge that I have read this application and state il, l i31�5 Kb is /b? SR 2124 oqi A RV 2- 121 r T:For s /Building Diw ion /Certificate of 6ccup Application FEES Certificate Inspection Parking Business Improvement Area (PBIA) fee charged for downtown locations (I-2) L Phone #3�'v tic, -la 3 4 7 it r1S.2.tr2 t.^) c1 Q 3 J Signature NO/ Zoning ie p Phone 3 c, o 4.5r- YES Comments Conditions Type of construction Occupant Load Automatic fire sprinkler system required no yes Dance Hotel- 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 that the information I have