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Home My WebLink About205 E 8th St "D" - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Use . . . . property zoning . . . Application valuation 04-00000317 Date 4/20/04 .505033 205 E 8TH ST D 06-30-00-0-2-3064-0000- SHELLY WOODWARD GALLEGOS COMM NEW CONST COMMUNITY SHOPPING DISTR 6000 Owner Contractor ------------------------ ------------------------ CRESCENT DEL. INC. P. O. BOX 41 JOYCE (360) 928-2560 TENTANT IMPROVEMENTS TYPE V NON-RATED BUSINESS:OFF/PRO/MED/REST TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 1. 00 1. 00 1. 00 1. 00 1. 00 1. 00 ERICKSON DAVID K 144 THOMPSON RD PORT ANGELES WA 983639740 WA 98343 Structure Information Construction Type Occupancy Type Other struct info 1. 00 V-N ---------------------------------------------------------------------------- Permit BUILDING PERMIT - COMMERCIAL Additional desc TENTANT IMPROVEMENTS Permit Fee 148.75 Plan Check Fee 96.69 Issue Date 4/20/04 Valuation 6000 Expiration Date 10/17/04 Qty Unit Charge Per Extension BASE FEE 92.75 4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00 ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 148.75 148.75 .00 .00 Plan Check Total 96.69 96.69 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 249.94 249.94 .00 .00 '--1:> \3 Cl'l ?\ \"\\ \, ( --..... ~ V\ ~ ~.~ ~ ,\J:l U') ~,-\. -f\ .," ~. v - Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or 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 as 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 pertor ance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent T:\PLANNING\FORMS\1102.15 [11/14/2003] BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LlGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ;"- ~'1"/ .")iJ ,J../..- BUILDING T:\PLANNING\FORMS\I 102.15 [11114/2003] OJ >-l "d 1;;:;;~8t;j~ n'O t' >< ~ H:U "' '0 'O:UZZZt:J >-It>1 "' -... t'Q~;;J~[:i ><'U [f) H ;po 0 0 ... 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HZ 3: ;po H ~ZE: Z[f) t>1 t' Z [f)'U Z ",,;po t>1 'Ot>1 >-l O"'t' Z t>10 [f) zo >-l 0>-3 t" [f) >-3H ~ ><"" 00 '" :uZ t:J ~~ YH Z H ~;:; 0 >-l '0'0 [f) >-l :>::>: 51 t>1;>: t>1 00 [f)t>1 [f) t:J ZZ t:J , >-l t>1t>1 H , t' < , .. , t' I H , t>1 W , :u '" , t' 0 , >< , , '" , '" , <D , I , '" , Ul , '" , 0 , , , , I I t:J'O I ;po;po , >-lGl , t>1t>1 , , , , , Ul -... '" , <D I -... , Of-' ""'" ~ :~"~; 4 )}.N 7/WE D :~; 3' C S C! Ti OF p,; BLl)~ DEPT k i>:,:' ~<I ~. - + '"" : i " _..l. _. I Appli_or Ageat~~ D.'?d "\IDGl\ *--:1\<: . Plione'~ ern<,. ~~ i', Owner: S6~ S~\\'j ~~bc\\~~ Phone:~~1 ~ to9e5(P Address:-21'1 S. Lawe..l ~. City: '6(..\- A1\oe1es Zip:qS~\oL ATc~ . Phone' Contractor '~;:~f'(\1 Q-U-\~JrState License#Cl.e5~f);~~/~:01-Q)~UC~ Phone:3l!:x:f11.8-S~9~ II Address: 70 ~i'::o-l 4\ CirY:'-;)~JC€.. ~D Zip:g 8343 ~ PROJECT ADDRESS: ~ ~ ~ s-\-. rti~~~. ~~<C7.. ZONING: ! LEGAL DESCRlPTION: Lord 0 - \L Block 23c> Subtfuision: - i CLALLAMCOUNIYPARCBLNUMBER; C~ -:<J2J-(1'J- (')- Z""~3...cH.. CX--:0~- . BUU",Ql....~_1'1;~c~,..__/~:'ft:';"ii.. Fill out COMPLETJ:l.Y aDd mINK. Your.Bcatio.U4"~"". COM:PLETE to bf. accepted for review. lfyoll bave any ~ eaIl (3'0) 417-4815 Credit Card Bolder Name: Billing Address: City: Credit C..-d'l'ype ~MC # Exp. Date: TYPE OF WORK; SIZE/VALUATION: o R.esidentia1 '" New Constr. 0 Re-roof 0 Stove SF. @ $ iSF. ;;; $ o Multi-family 1:1 Addition Cl Move 0 G9rage SF. @ $ /SF. _ $ ~ Comollll.'Ci.a1 1:1 Re:w.odel J:I Demclition 0 Deck SF. @ $__ISF, = $ 1:1 Repair [j Sign 0 Other TOTAL VALUATION $ ~qoo Bllm'DESC'1lJl>TION OF 'nfE PRmECr: Ne~ w,;:~ ~" l!.~, ~ .OO~ ~ ~ . <;.e,. . Gt~ t ,St~/f?e)((tA T ~~..-.!~~ <::;';.(,.d.e D -z, -~rk.04.S . . . ( ~fXL'~ COMMERClALIRESIDENTIAL: Occupancy Group; Occupant Load: ___ Construction TyPe: fAloo-r,/ No. ofStcriCll:"\- lDt Size: Existing Sq. Ft. & Proposed Sq. Ft.__ ~ TOTAL SqFt ! S 00 Existing lot coverage - % & PIOpo~ed lot coverage: _% = T011l1lot coverage % I l APPROVALS; , PLAN:~_ ' PLANNING USE ONLY: BLDG; DPWU:_ FIRE: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? tJ Yes 0 No Other: OTHER:_ BUILDING PERMIT APPLlCA nON SUBMJTIAL: The Building Division can p:r.ovide YOll wifulDformation On the application and plansubmi.ual~ ifyouh&.ve questions. V ALUA nON OF CONSTRUCTION: In all cues, a 'Valuation amount must be entered by the applicant Th.is figure will be reviewed andmay be revised bytfu, Building Division to ccmplywifu cwrem fee scbedules. Con.tactthe PeJ:tUtt Coordinator at417 -4815 fOI assistance, PLAN CBECJ( ll'ltE: IF a plan ~ck fee is due it mu.st be submitted at the time t:he building pew! application and construction plans are .!ubmittrd. All othcI: p:.n:llit :fees are due at.the time of pennie illBUaDce. EXPIRATION OF:PLAN REVIEW: Ifoo pcnnit is issued within 180 dayg of the date of applicatioIl., the appliclltion will expire. The BuUding Oftici.al can exteDd th8 t:iJ:Jxl fur action by the applioam up to IBO da-ys upon written request by the appliCUl! (see Section 107.4 cf the ThrifOnn Building Code, cmrerrt editfon). No application can be extended ItJ.Q:r.e than once, i hereby C8l1ffy that I have read and examined this epplJcaticn end know th same to be true and comet. I am 8uthorf.z6d to apply for this PfJ!"mit and understand that if is my responsiblfffy to determine Wh8t parmits ere r8ql.l' no the ~ and that I mu5f obtain such permits prior to wolk. Applic,"'t.. ') D ate.' l- 22 - {51 T:\FOlQ,(S\A.l'PS\BuildiDgperlIli(wpd,... __ ~ \rD) ,..... t- o t- . o .- I 'b (\j P .1 ):) ~ II"'~ l 1- ~ . . .._ 11(\\ .'. J' OJ -:.~ ~ . (. 'c:c!J d .1.>.:1 ~ \ ~k.~ ,,-, / \I) Q..- ~ ~ '* 1~ 0 N ~: ~9 -<~ ''3 j R ~ H~ r~ ~ . r.,. ;,"} :~c:; ,: ~ ~ :.5 .~t" u;. gP ", ~ '" .~ . ~ j2 ~. 0. ii>. >~ (. L:t.'3 --- E"'O (/) M~\%)'~52:: ~~o:~:: . ';i,c::o;Oaj ..q ~ f ..,J~ 'cO c (1j "'8 . <.Vp~g~oou ~~.,~~' ~c: tf; Q' ~< U ~ 11 .5: '0 ~j !~~~~:g C': ~.r:' b,(l""C t:lJJ t::- ; HUH: ~ U. c.::-g~Q:ooM 0 o ~ ~~, ~gcrg~~~ ~,~C::' cn:.c;:.;.:;i=lo _";;;'.\?~c:,"".!.'2u ~ . ~ '_.!5~ =:: s;:u.J Q, t" )-- L'l 0. ..d "> ~ <0: )l -_..~ . (lJ V' Q) -+ -~ .Q ;f) ..... .:.... . n I '1x) '" ., , " J '. - N \ '. ::> I ;'>/ .... ,... \-=::: , ( '~ I t") I b 5/ 19//.l 7 /) N - - ..1 . OJ . I 0 i0 1 . t') 0 N I (\j 'b ..- r , \ ~ ) ....::, ":: /) -s ( en"! . c:::::;:, -n :;;. ~ ~ . t') I ~. ,. IL( f.eiL "'~ ~~ 71.' '-((-ell... ,. . o I :t- o .' "-0 !~ "--J V) . OJ I b C'l . .J \>./.I~~ < ...J ~ I.&J .1 10 :t- o .r . o I b ~ ~.. ~~ ----------- o <t\ . <0 .1 OJ 0- m I o I in .... I o .1 I '<t I ;., I co I b t") . o I .. OQ ~~ .f'-. '1J Wd ..l' - ~ z ::s ~ a.. 1/ A A a::: ;:J!! w 0 .....J <( 0 () .-.J (/) \ lL- , . ,..... 1 ;.... .,., ) -L<;; 11t.; . _ Q. 0-. ~ d ~ 'oJ () -4 j ~ (j J ~ ~ t a.cf.J OJ e:a .>> ~ l! d r[ I dJ ~ ~ORT ~ $~O~~~ ha ... -=..:or ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000448 Date .682496 205 E 8TH ST D 06-30-00-0-2-3064-0000- SELAH GIFTS & ESPRESO 5/27/04 SIGNS COMMUNITY SHOPPING DISTR 300 Owner Contractor ERICKSON DAVID K 144 THOMPSON RD PORT ANGELES OWNER WA 983639740 Permit SIGN Additional desc 12 SF WALL MOUNTED SIGN Permit Fee 30.00 Plan Check Fee .00 Issue Date 5/27/04 valuation 300 Expiration Date 11/23/04 Qty Unit Charge Per Extension 1. 00 30,0000 PER S- SIGN ALL 25- 30,00 Fee summary Charged Paid Credited Due ---------~------- ---------- ---------- ---------- ---------- Permit Fee Total 30.00 30.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00 30.00 .00 ,00 1: V'\ - "" H ';d:- ~ ":t \' -:> ~ I,;. V :: Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or 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 as 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 pro . ions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit es not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the perform nce of construction. Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [11/14/20031 BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVlDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPE~T10N TYPE DATE ACCEPTED COMMENTS '! YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL. LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ~-9?-c04 .JLL BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003] OJ >-3 '" I )>",on>-3)> n'" ~ >< ~ I "')>~Ot'JtJ H:U '" '" I "':UZZZtJ >-3t'J '" ...... I ~Q~~~~ ><'" (f) H I )> 0 0 >-l I Z~ )>>-3(f) O:U H .. I ~. n- (f) "1t'J I >-l tJ Ul I OJ OZ '" H I t'J. :u 01 . 0 8[:;~ I :u :u :uoo I >-3...... 3:0 " "'C::O oot'J (f)" ~.::'. ~t'JO .."':u t'Jo t'J(f) , , H ~Ul G)O >-3>-3Ul own 5:t'J t'J.. t'Jt'JH oo?: ~- tJtJ~ 0 , (f) t'J 000 G)oo (f)H ooZ H>-3 w *, .. "10:: , :u ..otJ >-3 0 t'JH 00' )> (f)(f) .. , ~ (f)Z ,,< >-3 , C::(f) (f) , H .., H ~'" HWtJ tJ .., , >-3 G)o t'J Z"'?: (f) , (f)" '" :u 0 t'J 01 :UtJ 0 (f) 8 t'Jt'J 0 0 (f)(f) 0 ~ c::n , tJ ~:u Z >-3H (f)'" n G) ......>-3 0 nH H 3: "1 00 HZ 3: Z 3:Z Z(f) t'J 3: , (f)'" Z )> t'J "'t'J >-l ~ Z t'Jn (f) >-3 n>-3 (f) >-3H ~ 00 :UZ tJ '-<>-3 Z ~8 0 "'''' (f) >-3 0::0:: c:: t'J?: t'J 00 OJ (f)t'J (f) ZZ tJ >-3 t'Jt'J H ~ < ~ H t'J :u ~ >< tJ'" )>)> >-lG) t'Jt'J ro ...... " .., ...... o "Ul BUILDINcflLflT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.:! -2S--0~ Pemlit #: _ l./ - 44 _ Date Approved: Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: ,Sr/;'A Gf/r ft./?"'- FIfpJ$O Owner 5/l( I f1 0.J:;cx'&;~'U~fJ . Plione Address: ~'K C (y~ 1 ~" w LJ. City: f&1- t1of/~P I / Phone: Phone: .er)7-6 .73-71 7'~z-Y15& Zip: 1'Y:S1r:,7../ Architect/Engineer: Contractor State License #: Exp: Phone: Address: City: Zip: ZONING: '~S]) PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC # Exp. Date: TYPE OF WORK: SIZEN ALUATlON: o Residential 0 New Constr, 0 Re-roof 0 Stove SF. @ $ ISF. = $ o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ ISF. = $ o Commercial 0 Remodel ~emolition 0 Deck SF. @ $ ISF. = $ 011 o Repair Sign 0 Oth9 TOTAL VALUAlION $ 3 00 BRIEF DESCRIPTION OF THE PROJECT: :,2.. 0/ wCLlj MC'i..... n,+e ct s40t"~ 1=1'6,A-t- 3-51 X 17'"==. SCfS =- ID~ o.tloweJ 571S~ COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage & Proposed Sq. Ft. = TOTAL Sq. Ft. PLANNING USE ONLY: --C. -- r :s APPROV PLAN: BLDf':: DPWU: FIRE: OTHER:_ % ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BlliLDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with CUlTent fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the tin1e the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAc~ REVIE"!: 1fno pemllt is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, cunent edition). No application can be extended more than once. I hereby cerlify that I have read and examined this application and know the same 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 ,not the City's, and that I must obtain such permits prior to work. Applicant: ~ -4 ~ ~~ c/ :2 Date: Os - 2 <;' - 0(./ T:\FORMS\APP S\Bui ldingpermi t. wpd CD j :fI ..... PIlI ~ 'D " if ...... (j\ - cj~ cP I ) CO V\ (1 c> g VI ?"='" .,2 ~~~~g-a~;l(") Q; \3 5 -. Y' 3 o. '" ~ .; :2:=>~<n~51Bf-< * ~g,.g?5~~~ 0 ~vt ~~~t~i! ~ I ~ 8. 1::: g' ~ ~ >> N a:~ g-<n~ g.lf.-4 V. 3 ~ 5' ~ 3: S' -:i )10 ,f co CLOQ a.ci6 ~ 3 Z o.g,~~~l~~~ . ~ ~ 3. ~ 2. !l" r;; ~ ~I;~~l!i ~~Sl.~~ta"! f .... ;jl c:; ~ ~ca-Sl.i'ii!a 'so g. a ! I["!- J.;~3~a g. . ii <I s. OQ r :s . ",:::> ~.:g ":J P S' g: la n' ~ ii OQa:i!.:'ilii ~ t p Vl F' tiJ ~ LA \f"~~ , CJ\ ~ Q ~e ---, S2.lCL ~ &=-~~t fs {uld r~}(:e~t I ~ I Certificate of Occupancy r ~~ c . /() 5/r3)d-t $11 ::' Certificate/Inspection Fee ROUTING SLIP oc..t - 3L$1 "' O~~Gi $' ",~~,<,:" "-u ;~::;"~ ~ ~ ^'U&LIC wo~v.-S Brief description of proposed business: legal Description: lot Current Use of Property: Zoning Classification of Property: 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Business ............................ ( ) Transfer of Business location. . . . . . . . . . . . . . .. ( X ) Change of Ownership . . . . . . . . . . . . . . . . . . . . .. ( ) ') New Building .. . . . . . . . . . . . . . . . . . . . . . . . . . .. ( ) Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( ) Temporary Business ....................... ( ) Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . .. ( ) Block YES NO -~ - -->L- - -X-=:- -X- -X:- - _ ---X- --X- -~ -X-- --X- - -iL- 2L_ == ;~ -- ~'== 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 ) Fi re 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 ~ Cr\ \\"\ ~ ) ~ ~ c: ... 'it 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: ROVED fEJECTED s-/Z.~o<L Building Section Public Works Department Planning Department Fire Department City Clerk PB.I.A. Comments / Conditions .. \0