The URL can be used to link to this page

Home My WebLink About1004 W. 16th StreetAddress: 1004 W 16th Street o- .1 C This certificat Code certifyin of the City reg Business nary Business add Business owr, Business owr, Automatic fir Use & occupi Occupant loa Type of const Post on the pre" O- CERTIFICATE OF OCCUPANCY APPLICATION Permit # /3 " &-gs CITY OF PORT ANGELES Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 Check one: New business in P.A. BUSINESS NAME /�.�0.�/ Business address tOO Phone number Business owner's name Business owner's address Brief description of business _ FEES $50 Certificate /Inspection $100 Parking Business Improvement Area (PBIA) fee charged for Downtown locations PLEASE PRINT IN INK Change of ownership only? ❑ Moving location from within P.A.? ❑ Zonin Property owner's namef Property owner's address/contact BUILDING DEPARTMENT phone 417-4815 Mailing address ti¢ date Days & hours of operatio Contact phone 36/0 v .1-73-:? Is the business a restaurant or bar that will seat 50 or more people? Cgntact phone 3& 'C/3"? —0 `%3 / Bldg approval by on Yes ❑ NOX 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 ❑ No Work planned: PBIA (Parking Business Improvement Area -Downtown) phone 417-4623 Square footage of business? Is business moving within the PBIA? Yes ❑ Nc� I� CITY CLERK phone 417-4634 Second-hand dealer/pawnbroker business? Yes ❑ Nc� Will there be dancing at this business? Yes ❑ NOX 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 PBIA noti� City Clerk approval by on COMMUNITY & ECONOMIC DEVELOPMENT phone 417-4750 Number of off-street parking s aces available for employees and customers? 6 9 a, f& S (A parking plan may be required.) Signs? (wall -mounted, freestanding, projecting, awning, A -frame, etc?) Signs planned: CED approval by on PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PINE 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, dow pouts, irrigation system backflow devices, etc.). Yes 11N I Work planned: PUBLIC WORKS WASTEWATER phone 417.=4845 MIN approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ N X 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. I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. /l Date Print Name �''�C/� Dw.a J ! Signature ` AnLtv T:\Forms\Building Division\Certificate of Occupancy Application (2010).doc Page 2 of 2 i x M *61 Ilk W, `p 1018 i x M *61 Ilk W, CERTIFICATE OF OCCUPANCY APPLICATION Permit # /3 - a- gs CITY OF PORT ANGELES Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 FEES $50 Certificate/ Inspection $100 Forking Business Improvement Area (PBIA) fee charged for Downtown locations PLEASE PRINT IN INK Check one: New business in P.A.IrChange of ownership only? ❑ Moving location from within P.A.? ❑ Zoning BUSINESS NAME lig n i�— Business address /00 Mailing address Phone numbers0 7 3 7 Opening date Days & hours of operatio - Business owner's name rr, u Contact phone 737 Business owner's address do / , Brief description of business Property owner's namef Property owner's address/contact BUILDING DEPARTMENT phone 417-4815 Is the business a restaurant or bar that will seat 50 or more people? tact phone 3Ed 41.1-7 —0 53 / Bldg approval by on Yes ❑ NO 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 ❑ No Work planned: PBIA (Parking Business Improvement Area - Downtown) phone 417-4623 Square footage of business? Is business moving within the PBIA? Yes ❑ N CITY CLERK phone 417-4634 Second-hand dealer/pawnbroker business? Yes ❑ NC� Will there be dancing at this business? Yes ❑ NoX 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 PBIA notified on City Clerk approval by, COMMUNITY & ECONOMIC DEVELOPMENT phone 417-4750 Number of off-street parking spaces available for employees and customers? 1 ga�eat-&S (A parking plan may be required.) Signs? (wall -mounted, freestanding, projecting, awning, A -frame, etc?) Signs planned: CED approval byon 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, clow pouts, irrigation system backflow devices, etc.). Yes ❑ N Work planned: PUBLIC WORKS WASTEWATER phone 417=4845 I PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ NX 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. I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. Date ? V Print Name/ ��L /a, Z2'4'w�i SignatureAL� T:\Forms\Building Division\Certificate of Occupancy Application (2010).doc Page 2of2 Address: 1004 W 16th Street PREPARED 10/18/13, 9:51:56 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/18/13 ADDRESS . : 1004 W 16TH ST SUBDIV: CONTRACTOR ASM SIGNS PHONE (360) 452-7785 OWNER PENINSULA BEHAVIORAL HEALTH PHONE PARCEL 06-30-00-0-4-4115-0000- APPL NUMBER: 13-00001068 SIGNS ------------------------------------------------------------------------------------------------ PERMIT= SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------ BL6 01 10/07/13 JLL BLDG POST/COLUMN FTG ------------------------------------ 10/07/13 DA October 7, 2013 8:51:21 AM pbarthol. Mike 452-7785 October 7, 2013 4:11:57 PM jlierly. Arch reader was unavailable on this date. 10/8/2013 it was operational and need to move post and sign back 5.5' to the west to be in compliance. Sign cannot be in ROW.JLL BL6 02 10/15/13 JLL BLDG POST/COLUMN FTG 10/15/13 AP October 15, 2013 8:18:48 AM pbarthol. Margarette 452-7785 October 15, 2013 4:17:32 PM jlierly. BL99 01 10/13/13 J BLDG FINAL 14 October 18, 2013 8:09:20 AM pbarthol. Mike 452-7785 ----------------------- .-----------` — ------ — -�-------- — -- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 13-00001068 Date 9/24/13 Application pin number . . . 364716 Property Address . . . . . . 1004 W 16TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -4 -4115 -0000 - Application type description SIGNS Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD Application valuation . . . . ---------------------------------------------------------------------------- 800 Application desc FREE STANDING SIGN ---------------------------------------------------------------------------- Owner Contractor PENINSULA BEHAVIORAL HEALTH ASM SIGNS 118 E 8TH ST 1327 E. 1ST ST. PORT ANGELES WA 983626129 PORT ANGELES WA 98362 ---------------------------------------------------------------------------- (360) 452-7785 Permit . . . . . . SIGN Additional desc . . FREE STANDING SIGN Permit Fee . . . . 47.00 Plan Check Fee .00 Issue Date . . . . 9/24/13 Valuation . . . . 800 Expiration Date 3/23/14 Qty Unit Charge Per Extension 1.00 47.0000 PER S -ALL SIGNS < OR = TO 25 SF 47.00 Special Notes and Comments ------- September 23, 2013 5:01:31 PM sroberds. The proposal will result in a 24 sq.ft.free standing sign in the CN zone. No land use issues ---------------------------------------------------------------------------- are anticipated. Fee summary Charged ----------------- ---------- Paid CreditedDue Permit Fee Total 47.00 ------------------------------ 47.00 '.00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 47.00 47.00 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within. 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have`not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or.not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage / Downspouts Piers Fire 417-4653 Post Holes (Pole Bldgs.) PLUMBING: FINAL Date Accepted b 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: FINAL Date Accepted b Heat Pum / 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 SEPA: ESA: SHORELINE: Parkin / Lighting Accepted By Landscaping FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By 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 CITY OF PORT ANGELES - SignPermitApplication pdf http: //www.cityofpa.us/PDFs/PermitsPlanning/SignPennitApplication.pdf SIGN PERMIT APPLICATION CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 / Applicant or Agent 4,51V _y1efA) S Property Owner Property Owner's Address Contractor ,gs M Contractor's Address Print in ink For City Use Date Received Permit # (3 Date Approved -:g-7g - Phone License # A?�IiF�2�� D37 Expires Project Address Business Name�T Parcel Number Lot i ,yea .3 Zoning C�� Submit an 8 % wx 11 'site plan & three sets of plans that include: ■ Type of sign (wall -mounted, projecting, freestanding, illuminated, other...) ■ Placement and sq. ft. area ■ How the sign will be securely attached (Engineering specs may be required for freestanding signs) • Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code" of the City of Port Angeles Municipal Code for sign requirements. Sign Type & Brief Description: (Type, location, sq. ft.) Sign #1 Sign #2 Sign #3 Sign #4 0//6 Ud-C 57,11201AX dICA) UDO Totals (Unit charges Sign(s) Unit Charg Quanti multiplied by quantities) Type of Sign Valuation S $47.00 x _� _ $ All signs less than or equal to 25 sq. ft. $85.00 x = $ Wall sign or marquees, over 25 sq. ft. $115.00 x = $ Freestanding sign or projecting sign, over 25 sq. ft. GRAND TOTAL Make Checks Payable to: City of Port Angeles $ Credit Cards (Except American Express) are accepted Existing sign(s) area L) sq. ft + Proposed sign(s) area o? Ll sq. ft. = Total sign(s) area 3t L sq. ft. Building fagade area (height ft. X width ft) = sq. ft. (lf a building has more than one business in it, only measure the area of the building fagade that is used by the business applying for this permit) 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 wha its are required, and to obtain permits prior to working on projects. Date 4 , t8 % iL Print Name /-I//- /_ /J'iZ Signature T: Forms/Building DivisiordSign Permit Application.doc 1 of 1 4/10/2013 9:50 AM 4' 1o1 BEST FRIENDS PET CARE Grade A G � 1' � I e6 / Two Holes ' deep x 27" x 27" 3'e � � L � `Y �{L � C_�J "� \ �-� •- car --ti.