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Home My WebLink About632 W 3rd St - Buildingc *ORKS be DATE: 1 PERMIT 1 /11 11 ta OWNER H K 2 ra CONTRACTOR 11-1 LE.. 1rfZl C ADDRESS X32_ L1/43 7 14 C. ar /l0 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 0 MN" 414_ 4 r DO NOT REMOVE INSPECTOR APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED R $Q 1 rL D 1Ari"\ Pi YE t F' NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 200 amp service change 3 circuit remodel Owner HARPER TTE JAMES /JEANNE C 19950 DRIFTWOOD LN BEND Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total OR 977029059 10 00001509 329096 632 W 3RD ST 06 30 00 0 0 7520 0000 ELECTRICAL ONLY INDUSTRIAL LIGHT 0 Contractor ELECTRICAL ALTER COMMERCIAL 179648 127 70 12/30/10 6/28/11 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 THE ELECTRIC COMPANY PO BOX 1471 PORT ANGELES (360) 457 7120 Plan Check Fee Valuation Qty Unit Charge Per 3 00 2 6000 ECH EL BRANCH CIRCUIT W /FEEDER 1 00 119 9000 ECH EL 0 200 SRV FEEDER Special Notes and Comments December 29 2010 2 28 13 PM Brian 417 4708 Maintain existing clearances over ground surface and to building Charged Paid Credited INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL COMMENTS 12.4) PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G• \EXCHANGE \BUILDING 127 70 127 70 00 00 00 00 127 70 127 70 00 DATE. Date 12/30/10 RESULTS WA 98362 Due 00 00 00 00 0 Extension 7 80 119 90 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date: X Date. 1 2 Single Family Dwelling Owner Informatipn Name: 5f ✓vl Mailing Address: City Phone License Exp. Item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. 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 First 1500 sf Commercial Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY. First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub r State: Zip: Fax: Unit Charae 119.90 145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 110.30 148.70 167.90 95.90 88.20 95.90 63.90 63.90 119.90 102.30 56.00 110.30 35.20 73.50 110.30 Dated: (7-- -1q-- (0 RECE IVED DEC 2 9 2010 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections LECTRIC 321 East Fifth Street P 0 Box 1150 /Port Angeles Washington, 9836 EE AL LECT Ph (360) 417 4735 Fax. (360) 417 4711 *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 3 a Ls) es T rd. Building Square Footage: Description of above a 0 o a v- as VW Se r vt`c C t�c,Kt� 01/0112010 Multi- Family or Commercial* /Commercial Addition Alteration Remodel Repair* c,c-td 3c/cc Contractor Information Name: TL c L kccTric COvv1Pcny Mailing,Address: P, 0, 13 o X 3 se City t'o r T Av<1 °reJ State: Pr- Zip: 'f?3 C Phone: Fax: License /Exp E tc c 1 Total (Qty Multiplied by Unit Charae) 119,fo 3 ao 1, 7 ??Total 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 if 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 installation or alteration in compliance with the electrical laws, N E.0 RCW Chapter 19.28, WAC Chapter 296 -465 The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14 05.050 regarding Electrical Permit Applications. Signature of owner electrical contractor or electrical administrator' Cash Check Credit Card /O OR? F A RKS b ADDRESS (32 3 5 J ELECTRICAL INSPECTION WIRING REPORT 417 -4735 DATE: PERMIT INSPECT OWN R okr tEtn t7S44 1.1 L 1-1A21:107 Tr- C OH TC^( J4 NT Z A ►.t C-t-O U APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED Mic..1-1..0%) P L Cr) *2, qC0 M.4 Cr02a,YZY 4.6% R► a I pu s e o r ?i- nt� £9D.3 A. WO 2rc VS r `e t kbg..L )►6.3. S, ,t_ Au_ u14 v p (:)1 rJrc /O .)ZJ ?zo J t Pr._ 42 OQ &re_ t.JO fL K P.( CE_ 1,4 F `i t. iCLt(Z4 CAL-. E t N11-147 //O. 21 fH $-i i R t..t c -r t oit s /-112 Lq Kvt_ 1 1,(.2 1m/ N 1F—G 62 41OTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS NOT APPROVED 0 0 0 DO NOT REMOVE oi g_ of t t )3 ye, V c s c o -t lti( F I 1 iioT cOP4 ?Ltrs:rt t.) LT1 -4 4 6 D. Aet Z, F 3 It 5 to Note: This application must be completed and returned at least ten (10) days pnor to the date of C. the dance. Teen Dance Adult Dance DANCE PERMIT APPLICATION Other. t� Applicant's Name: M o e tL t✓ Yom+., Last First Middle Initial applicant's Street Address. 2051 E MEhMbcJC R4,Q LOA 98 City State Zip Horne Phone: &O 677O 2.1/5 Business Phone: 3 ,C) 4 177 5 Birthdate /0 /96 Driver s License fritvREAM Mu. Day 1 Name of Sponsoring Organization 6 k¢.4+- cam.._.` Address: 6,32— Lea Phone. 3/QO '(77 5M' C_� 0 "T G 3 Fee /o.(1 Z License No 4 4 vw -4-Q -k-cr -k-c i sae. 1/16 --U-e, 2_ extu .1 E nv „ter per w e- V' Location of Dance (0 32- L 3rd S4 Ji,a f 1 Street Address. 1 it .Y f it /7 cz c 0 Z '11'715 i-lass iica •of l c.L h,i R't,/1Ca-K 1 ...ace s be he.;i. 111,.4_t 5 714 ;OW 3° 01A Z4M pp” 1: c _c ict c pceteLt. /!/V e...+4t- 4.. If teen dance, full number of adult supervisors to be in attendance at all times (complete section below): No. Signature of Applicant: Date- Approved by Date of approval Name 1 2. 3 4 5 6 7 8. 9 10 11 12. 13 14 15 Address Birthdate Driver's Lic. No. Occupant load CERTIFICATE OF OCCUPANCY 144 q.v., an Sueo 00 angg'er 01-27-10 Date Subject to parking agreementwitillhOgib*OTTOrliAngeles Post on the premises in a conspicuous place. This certificate shall not be removed except by the Building Official. City of Port Angeles Building .Division This certificate is issuedPurStaritto the requirements of Section 110 of the 201 International Building Code certifiiing that at the tiMeofiisSuancethiS :Structure was in compliance with the various .ordinances of the City regulating building constrl,ictiOivor use for follaWing Business name Zati.'0toud '1(6k. RIO Zan 01900). A z Business address 6 32 3r St. Property ,owner 5- q James JearMei:20,Ho,r061 .7717g, Property owner s address 2 19950 DriftwoodgLn 4302 IFient Automatic fire sprinkler .system. Per tB,c, Use occupancy classification A-3 Building permit number Type of construction. VB 'I''- -,4' 4 qd I (1/25/2010) Linda Pangrle' Re Zan Cloud's C of 0 632 W 3rd St. Page 1 j From Ken Dubuc To Linda Pangrle Date' 1/25/2010 1 10 PM Subject: Re Zan Cloud's C of 0, 632 W 3rd St. Hi Linda Her occupant load is approximately 120 It will be classified as an A -3 occupancy Thanks, Ken Linda Pangrle 1/25/10 10'16 AM Hi Ken, What occupant load do you want me to put on Zan Cloud's C of 0? She claims the area for her Assembly use is approximately 1,800 sq. ft. Please let me know asap. Thanks, Linda HOLD HARMLESS AGREEMENT r Dept. of m CITY Community Development THIS HOLD HARMLESS AGREEMENT is entered into on January 05 2010 between the PORT OF PORT ANGELES (hereinafter the "Port") and the Zan Cloud (hereinafter the Licensee Licensee has contracted with the Port for use of the Marine Terminal Parking Lot C off the Tumwater Truck Route as depicted in Exhibit A, figure 1 -20 (subject area) f'�►�J on a month to month basis beginning on January a3 2010 for the purpose of Saturday evening (after 5pm) event parking In consideration thereof, Licensee hereby agrees to the following terms and conditions Licensee agrees to hold and defend the Port, its officers agents and employees "Obligees from and against any and all liabilities losses, claims, demands, lawsuits, judgments, costs, liens damages, and expenses, including attorney's fees which Obligees may sustain or incur in connection with the activities of Licensee at the subject area Licensee covenants with the Port that the Obligees shall not be held liable for any damages or liabilities of any kind or for injury to any person including death of persons, including Licensee or damage to any property of Licensee or any other persons as a result of Licensee s activities at the subject area Licensee covenants with the Port to indemnify and hold the Obligees harmless from any loss caused by the use, occupancy or enjoyment of the premises at the subject location by Licensee or any person under the direction and control of Licensee and to hold Obligees harmless from any damages or injury caused by Licensee s use of the premises or its facilities or any repairs or alterations which Licensee may make upon said premises The foregoing shall not apply to an Obligee as to any matters resulting from the sole negligence of such Obligees unless covered by insurance carved by Licensee or which Licensee is required to carry Wherefore the parties have executed this Agreement at Port Angeles, Washington as of the date first written above PORT OF PORT ANGELES LICENSEE BY t om) c-- ZAN Ct,ov:7 E C E l y E 1 JAN25 2010 January 22, 2010 To whom it may concern, RECEIIVE JAN 2 5 2010 CITY OF PORT ANGELES Dept. of Community Development This is a letter with the intent to inform the reader that Zan Cloud and the group using the building at 632 W 3rd st. do understand that if permission to use the marine terminal parking lot is revoked that activities in the space must cease or be limited in occupancy to the amount dictated by the parking spaces existing on the property itself Thanks, Zan Cloud f 4 1 Sr' ti to i f 7009 Tcle Atlas 9 •linage City of Petit iirit Image D 2009 DigttaIGlobe q R 7 'oSr w 3 'd n. Legend F 181 Cargo Staging Area and Industrial Building (1 18A and 1 18B) 1 -19 1 -20 Pacific Rim Log Scaling and Grading Bureau (Tenant, Lease 24) Marine Terminal Parking Lot (4I4 Sc P>g Pettit Oil Company (Tenant, Lease 2 115) Marine Terminals (T1 and T3) Marine Terminal 1 Office Suites Platypus Marine (Tenant, Lease 73 84) This site plan is a user generated output from an Internet mapping site and is for general reference only Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS SITE PLAN IS NOT TO BE USED FOR NAVIGATION OR FOR LEGAL ISSUES. Peninsula Plywood Group (Former K -Ply Site) Valley Creek Estuary Port Administrative Building and Parking Lots Port Public Works Annex Building Comprehensive Scheme of Harbor Improvments Figure -4 0 ft 500 t A Page 7 w A N PORT OF PORT ANGELES N 1 t G T O N OF PORT ANGELES W A S H I N G T O N PORT January 20, 2010 Zan Cloud dba The Bohemian Lounge 2051 E. Maddock Rd. Port Angeles WA, 98362 Dear Ms. Cloud, Pleased find enclosed the Hold Harmless Agreement regarding the Marine Terminal Parking Lot we discussed last week. fj` f; LJ JAN 2 5 2010 r CITY OF PORTANGELES Dept. of Community Development The Port of Port Angeles has agreed to let you use the Marine Terminal Parking Lot as depicted in the Hold Harmless Agreement's exhibit A on Saturday evenings on a month to month basis beginning once the Hold Harmless agreement is signed. As we stated in our meeting, Westport Shipyard currently has an active lease on the parking lot, but has agreed to allow the Port to allow you to use it for event parking. As the lessee on the Marine Terminal Parking Lot, Westport Shipyard could at some point need the parking lot on Saturday evenings. If this should happen, we will work with you to find another solution. Please let us know if these terms are agreeable. We look forward to working with you and hope your venture enhances the Port Angeles community Regards, Holly Hairell Port of Port Angeles 338 West First Street PO Box 1350 Port Angeles, WA 98362 (360) 457 82 COMMISSIONERS Fax (360) 452 3959 John M Calhoun info portofpa.cofn Jim McEntire C' 14 ■•i, fal.lt EXECUTIVE DIR i C I OR Jeffery K Robb CO c m w f t RERVIRPA Irellipigirr s usup1b Pirillihnin I I C l it 0111111 ALUP oh: 9i.. i•- :i7iSF':ll:1 L:.L ilSi�ECL�l�CLi:: C •!oo m es..iss sr..... C'. Ihrl :L:l thud :1L:M:ll::iLL'.:•p:LLl: sssssss i°.,�,,� s:n IMONNEFIL ni t :l.E l- s- s l� e p' s =i mss BUSINESS NAME 7,470 Ci BUSINESS ADDRESS 'Business mailing address 2051 F_ O_p&atrrq date. 1 I 2001 Washington State Tax I D )I,� Brief description of proposed business ACTION New 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 Print in ink B s owner's name '7 QJ I AA B ess owner's home address e tv4fl-bDnck fled 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 For City use only Department Building Fire PBIA Planning City Clerk Public J k� rms /Bui■ ng Gi 'C' i!i .ic of CERTIFICATE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 100 00 (3.60) 417 -4815 fax (360) 417 -4711 Approved I Rejected Initials date I Initials date WM, t2.30 4 icy App' 3L M Pt bt,t3 gib Phone Ian 4/77-571•‘) Days .hours of operation N/A •If known list the name previous business at this location .,F,,.,,, .P41' 1 4 A46 WF, tl. %.A n EX /L, 4,x75 APP f..oX tsno sc. f- Phone# ,3496 c 7— WILL THERE BE ANY OF THE FOLLOWING? Electrical changes New or relocated signs 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? FEES Certificate Inspection Parking Business. Improvement Area (PBIA) fee charged for downtown locations I NO/ YES✓ 17 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 I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Date 11 30 1 Print Name 7a Signature t� Comments Conditions Type of const action Occupant Load Automatic fire sprinkler system required no Please sign up forutility services at the cashier counter yes MUST NLE ^7 Rte11c t,NT.0 -f 0 O N t 2 ire 2 Permit #03 1 Zoning /L 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? Co Pea. �y 1' pOrtr,l Print in ink BUSKESS NAME 7 ei_nr) BUSINESS ADDRESS t 8-2._ -iz_rD §-v- Zoning ./L Business mailing address 2:05 f P AA A 6649Lie g- Phone 56f) z 4 Otworirrprdate 11...- I .2_0tA. Days hours of operation N J A Washington. State Tax I D V %..11111•1•I 11111 0 IA s& 3 45r 4, iti SP Ncf: A.AiLi Irle-t Ekh/ 64,77 5) ..AcePgeg: crt:20 I sirs gwner's name 7 c.; sy.) Phone :3&61.1-7 57 I '13.1,isee oWner!s hbme address r-A I M "AnCk 12.41 PLEASE NOTE: A Business Licenseis also required for the following businesses Taxi, Peddlers, Second-hand Pawnbroker Motel, Fireworks Ambulance Taffoo Contact the City Clerk at 417-4634 for additional information: Brief description of proposed busine ACTION New 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 openina 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 application and state that the information I have supplied is correct to the best of my knowledge Datell 30 E2 Print Name 74-rJ C Signature c ey, For City use only Department Building Fire PBIA Planning City Clerk 0 iSS -crrnc' a:do. Approved Initials date CERTIFICATE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Attn Building Permit Technician 50 0( 321 E. Fifth St. Port Angeles WA .98362 (360) 417-4815 faX (360) 417-4711 $10000 ..cate o Occupi icy Applica n WILL THERE BE ANY OF THE FOLLOWING? Electrical:chan New-Dr relocated-signs 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? .1s 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 Comments Conditions Occupant Load Automatic fire sprinkler system required no yes Type of construction FEES Certif icate./ Inspection Parking Business Improvement Area (PBIA) fee charged downtown locations If known list the name of.the preyious7 bUsiness at this :location ,A NOV YESv rtrovit. t/ V Please sign up for utility services at the cashier counter C!) .S.64Y:3 \_:_C IF YES CONTACT Electrical Dept. at 4 -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? 6, 0. 0 Permit 01-12.39 Dance Hotel- PREPARED 12/01/09 8 04 05 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/01/09 ADDRESS 632 W 3RD ST SUBDIV TENANT NBR ZAN CLOUD CONTRACTOR PHONE OWNER JAMES /JEANNE C HARPER TTE PHONE (360) 457 9013 PARCEL 06 30 00 0 0 7520 0000 APPL NUMBER 09 00001234 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 12/01/09 BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 11/30/09 TIME 10 59 01 November 30 2009 10 56 46 AM 1pangrie ANGIE 670 2115 C OF 0 FINAL ZAN CLOUD ART STUDIO PLEASE INSPECT BEFORE 2 30 PM PLEASE CALL ANGIE 30 MINUTES BEFORE YOU GET THERE SO SHE CAN MEET YOU THERE COMMENTS AND NOTES Print in ink New b� cc L —Ci 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 For City use only Department Building Fire PBIA Planning City Clerk i= .ablic Works L_ CERTIFICATE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Approved Initials date Rejected Initials date -orms /Building Div 'Cer, ;cafe of Occuc icy Applicaii i Electrical changes New or relocated signs Construction changes Mechanical changes (ventilation, 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? heating, cooling, etc.) Permit FEES 50 00, Certificate Inspection $10000 Parking Business Improvement Area (PBIA) fee charged for downtown locations BUSINESS NAME 7) BUSINESS ADDRESS (p 3 iitt 3e-D 3e-D §T Zoning /L Business mailing address 205 f F AA F:4_ b1)061 JA qt3Z Phone x /77 X 5 /90 v O_p rtcfdate 1'L- 1 Days hours of operation N /A Washingtbn State Tax I D If known list the name of. the previous V" On business at this location Brief description of proposed business p Csru d Se Net- (AI 1 A AAIOn Eir <uhi4/77 Aft fa* free sti. kf- I B ess owner's name 2A ,N) et „r„iTh Phone 3 tpp L I B i ass owner's home address I t= _14tta��o[JC q-4 c.14,2 :hone 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 WILL THERE BE ANY OF THE FOLLOWING? NOV YES/ I IF YES CONTACT Electrical Dept. at 417 -4735 Building Div at 417 -4815 Call for Certificate of Occupancy inspections before onenina 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 application and state that the information I have supplied is correct to the best of my knowledge Date 11 30 e9- Print Name 2'4-n1 C LlUi) Signature Comments Conditions Type of construction 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? (D Please sign up for utility services at the cashier counter yes 3� LA 5;r._ ra m n 0-- iz._..n'l 0 :s—,a. ITu <z.,_� a .mo a. November 29 2009 To Whom It May Concern. Re Commercial Building at 632 W 3` St As representatives of the above commercial building owned by James Harper we have rented the building to Zan Cloud. She will take over the responsibilities of the building on December 1 2009 Please call if you have any questions Penny Withers (Daughter of James Harper) 360 457 -9013 G2 Clallam County Assessor Treasurer Property Details 56206 JAMES /JEANNE C HA Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 56206 JAMES /JEANNE C HARPER, TTE for Year 2009 2010 Property Account Property ID Geographic ID: Type Tax Area. Open Space Historic Property Neighborhood Neighborhood CD Owner Name Mailing Address. Taxes and Assessments Due 56206 0630000075200000 Real 0010 PA 121 H2 L N N Multi- Family Redevelopment: N Location Address. 632 W THIRD ST PORT ANGELES Cycle 5 Comm 20953140 19950 DRIFTWOOD LN #302 BEND OR 97702 Property Tax Information as of 11/30/2009 Amount Due if Paid on Statement Year ID Taxing Jurisdiction 2009 562062008 ST SCH STATE SCHOOL 2009 562062008 CC -GEN COUNTY 2009 562062008 PORT PORT 2009 562062008 PORT ANG PORT ANGELES 2009 562062008 SD #121 SCHOOL DISTRICT #121 2009 562062008 NTH OLY LIB NORTH OLYMPIC LIBRARY 2009 562062008 HOSP #2 HOSPITAL #2 2009 562062008 CITY STORMWATER CITY STORMWATER 2009 562062008 FIRE PATROL FIRE PATROL 2009 562062008 WEED CONTROL WEED CONTROL 2009 562062008 Admin Administrative Fee 2009 562062008 TOTAL. 2008 562062007 ST SCH STATE SCHOOL 2008 562062007 CC -GEN COUNTY 2008 562062007 PORT PORT 2008 562062007 PORT ANG PORT ANGELES 2008 562062007 SD #121 SCHOOL DISTRICT #121 2008 562062007 NTH OLY LIB NORTH OLYMPIC LIBRARY 12008 562062007 HOSP #2 HOSPITAL #2 Legal Description Agent Code Land Use Code DFL Remodel Property Mapsco Map ID JAMES /JEANNE C HARPER, TTE Owner ID Ownership Exemptions. First Second Half Half Base Base Due Due $135 02 $135 01 $68 34 $68 31 $9 68 $9 68 $149 88 $149 87 $166 96 $166 99 $19 85 $19 86 $28 02 $28.03 $36 00 $36 00 $8 70 $8 70 $0 82 $0 81 $0.25 $0.25 $623.52 $623.51 $143 38 $143 38 $69 38 $69 36 $10 14 $10 13 $149 41 $149 39 $167.24 $167.24 $20 16 $20 15 $6 89 $6 89 LOTS 8 &9 BLOCK 75 64 N N 29167 100 0000000000% Base Amount Penalty Interest Paid Due $0 00 $0 00 $270 03 $0 00 $0 00 $0 00 $136 65 $0 00 $0 00 $0 00 $19 36 $0 00 $0 00 $0 00 $299 75 $0 00 $0 00 $0 00 $333 95 $0 00 $0 00 $0 00 $39 71 $0 00 $0 00 $0 00 $56 05 $0 00 $0 00 $0 00 $72.00 $0 00 $0 00 $0 00 $17 40 $0 00 $0 00 $0 00 $1 63 $0 00 $0 00 $0 00 $0 50 $0 00 $0.00 $0.00 $1247.03 $0.00 $0 00 $0 00 $286 76 $0 00 $0 00 $0 00 $138 74 $0 00 $0 00 $0 00 $20 27 $0 00 $0 00 $0 00 $298 80 $0 00 $0 00 $0 00 $334 48 $0 00 $0 00 $0 00 $40 31 $0 00 $0 00 $0 00 $13 78 $0 00 http. /vpn. clal lam.net. 8084 propertyaccess /Property.aspx ?cid =0 &year= 2009 &prop_id =5 ed,c ,c7 \r t e) 6 l 11/30/2009 *1; -~. CERTlf(C~t~.::bt'o(:~u P ANCY i'f;~ ~"i >,)1)\ '_'1:,"'~JI i"~l )::;~,' ~' .~ :~'i ,~,:t"'i''.,'.J",:~!4~, '-~~ 9ity' of Port Angeles:';;' Building,:'Di~,sion i~lj ,,~\.- ~"",lj^" ~~\ This certificate is lssuedpursuant to the requlrements of Sectzon 110 of the 20iJ'3.Jnternational Budding Code certtfying tha~ at the tf;e'ofi~~1Jq~'c~~:~t~!~:sJructure,w~s 111 com1!Jiqnc~(wlth the V~~lOUS ordinances of the Clty regulatl11g buzldl11g C:071stru~(lOn;qr'useJ(rrtl:ze fol!Olfl1J:g: ',j, "':",' ',j, " . ~... , ~ ,:' ;r;: J~~I~:t., ," '" " ", . ",'~ ,,:' ~ \~ ' ~." \~ Buszness name: a~" '~ott. AAgeles f\J1uffler:i\~ ' "" "".:;-,;:-',.:':,,,:,<:" t1 t' , J I I ,: ~4' \_ i r " ""M, ~. Business address' I!;, "632,'wYl 3rd 8t " "', ~'" ~ <To' .",;'1;";.~(',;,. " &% ,,~t v.)r'i). . \: ~:~,/ ;\, "" "t ",. ~:( ,t r,~',,~;{, !}'i" Owner ofbusinesl'\ ;<RoAald Blank ,,0 "":>~ {~~'" ,,~ ,,~\.'I,~i,. Owner ,; address: ~ ~~1,52 ":~hiCkencoop':Rd'~~~:~'e~Jim; ',W.4:\9838~.':. Use & occupancy 'assificatlOn Busln~~s!, I~~i~ . , , , . ,\\,',~,).'.), 0 1'04'(;\':>:::;,> . Buzldzng permzt num'!],er::,. ;i;,_, 6- ,~,:~;~{,j-5'('~r", Type of construction ,~.. -~~"~""-\iJ:lf:sJ 'O'",e", .;~ ') , / Lasererr CEO . 10/30/06 Date Post on the premises in a conspicuous pIa .~- ~ ~eLES M uP-ri-EfZ- 1:f~_ ;040 ROUTING SLIP Certificate of Occupancy $50.00 Certificate/Inspection Fee (as C eler [D ' DATE OQ-21--D0 Address of Proposed Business ft>......\ A (0 .2, 2 w r ('d, ST \ "" ()~es Applicant -Ro (\q l ~\Q ^ k Address (~ c..~\C.~V"\(,5~ (0 "'Se~u \ '^! A q e~ 2, Phone: business qs 2..-3/311 home G, ff 1- 224 L Bnef description of proposed business: Mvt:f Icr legal Description: lot BIO~ Current Use of Property: MlJ ~e.( Slrb Zoning Classification of Property: Will THERE BE ANY OF THE FOllOWING? YES NO Construction changes Electrical changes , , Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs , , , New septic tanks , , , , New sewer service , ==X- 1: -~ -r-I 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. x== 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 ~-Z.l-Oro Building Section 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 , , , . . . . . . , , , . . , , . . . . . . . . . . . Subdivision TL 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: 1'J;;j' I - 0 V:> Signed: ~ ~ Comments / Conditions o ()- , - o -'= o ( ( (yt:. ( ( ( ( 0- \.N ('-' \jJ ~ ~ \ 3 e" ~ ~ ~ , ~ '-../ % o " PREPARED 10/05/06, 11 16 37 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 16 10/05/06 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER. 632 W 3RD ST PORT ANGELES MUFFLER SUBDIV HARPER, TTE JAMES/JE~E C 06-30-00-0-0-7520-0000- 06-00001040 CO- CHANGE OF OCCP/USE PHONE PHONE PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 10/05/06 JLL BUILDING FINAL TIME 13:00 * OVERRIDE TAKEN BY DYASUMUR DATE 10/04/06 TIME 15 17.00 RON 452-3136 10/04/2006 03 16 PM DYASUMUR --------------------------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- r- nUl rnC/l o~ en l~ iL -:<i f'~ h ') ~ r;~ .!.-'~ IC". '/~,o i -..~ 1":., r" - L; t' Il \ f T l.l~ ,<,= Laser. ~ ROUTING SLIP Certificate of Occupancy CEe u~......<'t "-- ""'-'" =- $50.00 Certificate/Inspection Fee ~ ""VSLIC wo<r-:t..~ DATE q ~4 ~ ()(t) New Business. . . . . . . . . ( ) ty ,,I _ \, , ,k,' . . . . . . ..... . ... . . Address of Proposed Business ~ " ' Transfer of Business location . . . . . . . . . . . . . . . ( ) / ~,....- v"'--' -,<;>>':~ ~"~\- rJ. neiC,k") to ~'d.. ~J'l; ~ (' ,\ ~__ I' Change of Ownership . . . . ....... . . .., . .... ( '-;':. ) ... .1; It."... r-.. .oJ f . 1",) " I r ...,.'~ \ ~ 1# j Applicant \ ~,(I, HI~.J 1,"" \ C4 . , I~ New BUilding . . . . ........ . . .... .... . . . ( ) 1(~7 (0;", .l~~ l"\.O)O~ ," Address t(O Remodel . . . . . . . . . . . . . . . . . . . . . . . . . ..... . ( ) <: _' ,.[' ~'/ l ... \ . .... \ - '~ CU:~9J7 ~ ,\. \,;0- Temporary Business. . . . . . . . ( ) , \'Y.v . ... . . .... . . . . '; I?"l ;J!~l . , . ,') ,) 4 I Phone:' business g:~. - ~ .") 5it' home ({l t: & - <.':. c, Change of Use . . . . . . . . . . . . . . . . ..... . .... ( ) V~' t: ~. t ~~:L\\.-;: ~"/,1 J'-" ,,-~ I ) Ii' d/:--- \' ~n~ ...--~j?-"'l 0.:- Bnef description of proposed business: .....!t j 1..;.:""". (r {..Io GJ _.",,'/ (, t' ~ .J f J , legal Description: lot Block SubdiVISion l\/\~.t p~: it [ ,,; .., Current Use of Property: --~--., l ~ ~t ;../ ~ 1 ' -- t :_~ Zoning Classification of Property. =l=L Will THERE BE ANY OF THE FOllOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes ",,; PERMITS BUSINESS liCENSE j~ -~ Electncal changes !\; 1) BUilding 1) TaXI Mechanical (heating, cooling, stoves) --y 2) Plumbing 2) Peddlers Plumbing changes == Ii 3) Electncal 3) 2nd Hand Dealer New or relocated signs \1 4) Mechanical 4) Pawn Broker _ ---:L- New septic tanks -~ 5) Sewer 5) Dance .1 New sewer service . . .. . _ ---1L- 6) Sidewalk Installation 6) Hotel - Motel AdmiSSion charged to patrons . ~I 7) Dnveway Installation 7) Fireworks - -4:- Is this a home occupation? " 8) Curb Installation 8) Ambulance -~ Excavation of filling of lots "V' 9) Sidewalk obstruction 9) Tattoo shop . . -~ Work done In City nght-of-way .. . ,~ 10) Water meter installation 10) Other Is there sufficient off-street parking? ,( == 11 ) Fire New dnveway openings " 12) Occupancy _ ----1L- A grading plan for site drainage -- 13) Sign (parking lots, downspouts, etc ) -- 14) Shoreline Are the eXisting streets paved? .....L _ 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- f"" Z!'" 6k edge that I have read this application and state that the Date: ","I'" " r t ",<7 . information I have supplied is correct to the best of my , t I I;~:vj., "". /,!.; "2':' knowledge. Signed: '>,V )f" I; ,.;>~ ~ i "f i/ .~;."" "it.. - " APPROVED REJECTED Comments / Conditions ~~~ ' .A ("J~ .~ :.: t: .r. . \ \ } -t-~ BUilding Section _~- ,,\,Q A. --1~ "'\. ; ""1" ~ Public Works Department ~L l')(~ ~:: Planning Department '\,",0 ~ e~;- - . ~ .'-<> Fire Department \ City Clerk P.B.IA "tt .....;;;iiI" CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 BUILDING PERMIT PERMIT NO: 13061 OWNER/APPLICANT JAMES HARPER 19950 DRIFTWOOD LN. BEND, OR 97702 360/000-0000 T:JIM PAGE S: ISSUED: 10/29/2001 PROPERTY LOCATION 632 3RD ST W Lot: 8 & 9 Block: 75 D Long Legal Subdivision: TPA Parcel No: 063000007520000 CONTRACTOR OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 PROJECT INFO Project Value: $258.00 Project Type: SHED Occupancy Type: Occupancy Group: Construction Type: Zoning Use: ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: 0 SFD sa FT: 0 MFD Units: 0 MFD sa FT: 0 6 u r Commercial: Industrial: Garage: o o o PROJECT NOTES INSTALL 8' X 12' SHED ATTACHED TO BLDG. SIGN 4' X 8' WALL MOUNTED SIGN INSTALL PROPANE GAS LINE AND FURNACE FEES ASSESSMENT Building Permit: $23.50 Mise Fee 1: PROPANE $35.00 Plan Check: $0.00 Mise Fee 2: $0.00 State Surcharge: $4.50 Mise Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $85.00 TOTAL FEE: $148.00 Plumbing: $0.00 AMOUNT PAID: $148.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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 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 conrect. All provisions of laws and ordinances goveming 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 sta~e local law regu g construction or the performance of construction. 1) . - oj Signature of Contractor or Authorized Agent Date Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE 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 I ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE GAS LINE to- 3,0-0 ( J-~ BACK FLOW I WATER AIR SEAL WALLS I I I CEILING T I I FRAMING JOISTS I GIRDERS SHEAR WALL WALLS I ROOF / CEILING DRYWALL T-BAR INSULATION SLAB 1 I WALL / FLOOR I CEILING I I I MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY /INSERT HOODIDUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE/ METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA' LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE VES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. j-IJ-O, BUILDING 417-4815 BUILDING -;.' "rO,rGd .4~V C\APPL.WPD CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . REQUEST: Received by / " "..'--- 1" /' . (phone. person) Date / Time Location of Work to be inspected /' Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final Phone No. Permit No. ~ Sewer Excav. Othe~~ Of f' ^1Cf I (/ INSPECTION NOTES: Inspected: Date 10 . 30 - 01. Time Remarks: By G~K RESTORATION REQUIRED. . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATEl ~ ~ORT ANGELES , CITY OF WAS H I N G TON, U. S. A. PUBLIC WORKS & UTILITIES DEPARTMENT December 12, 200 I Jim Page 805 East 5" Street #201 Port Angeles, W A 98362 RE: Public Works requirements for business located at 632 West 3'" Street Dear Mr. Page: Per your request here is the list of improvements required by the City of Port Angeles Public Works and Utility Division. Submit an accurate (to scale) off street parking layout showing the required number of parking stalls for your newly opened business. Third street has a 70' right of way. The street parking is not to be used in the parking stall count. Attached is the city's design standard to assist in your layout design. The parking lot design needs to show the direction of storm drainage flow. The parking lot is to be constructed of a hard surface material either asphalted or concrete, including installation of a catch basin with an oil separation ''T'' as required. ~ V ~ If you have an agreement with the adjacent property owner for additional parking ,submit a copy of the agreement to Public Works. t Required street improvements will include: , Construction of curb and gutter with asphalt pavement to west end on'" Street. At the west end on the south side on'" Street install storm drain curb inlet with oil separation" T". Connect storm drain line into existing inlet on north side of street. ~ Construct driveway approaches to city standards, which requires 6" of concrete in the city's right of way. Driveway design standard attached. <3 These are city standaril requirements for any connnercial establishment. If you have questions, feel free to call, 417-4807. - Sincerely, ./ . -.?'~, Trenia Funston, Engineering Pennit Specialist / f -'----' " ! /- ",,--t.ft..-r(...It-"-L.r/~ cc:GaryKenworthy Department of Community Development 321 EAST FIFTH STREET. P. O. BOX 1150. PORT ANGELES, WA 98362-0217 PHONE: 360.417.4805 . FAX: 360-417-4542 . TTY: 360-417-4645 E-MAIL: PUBWORKS@CI.PORT-ANGELES.WA.US From: To: Date: Subject: Trenia Funston LHAEHNLE 1/30/023:50pm 632 w. 3RD -Reply Mr. Page was sent a letter on Dec. 12, 2001 regarding PW requirements for his business located at 632 West 3rd Street. I have not had any other correspondence with him nor have I heard from him regarding the requirements. You should have a copy of the letter. Department of Community Development was cc' ed. If you don't have a copy I will send a copy down. TF o ~ ~ ~ DEPARTMENT OF COMMUNITY DEVELOPMENT pORTANGELES WAS H I N G TON, U. S. A. October 18, 2001 TO: Fire Department <-Btiliding Department Public Works/Utilities Department FROM: Department of Community Development SUBJ: CONDITIONAL USE PERMIT - CUP 01-12 FRENCHY'S MISSING LINKS - 632 West Third Street Attached hereto is an application for a conditional use permit to allow a recreational activity in association with a permitted activity in the Industrial Light zone. The permitted activity is a tavern use with the conditional use permit being for a miniature indoor golf course use associated in the same structure. Parking for the use is proposed backing into Third Street at this location as Third Street dead ends at the property. Please review the material and forward any comments you may have to this Department no later than November 2. 2001. If you have any questions or require further information, please don't hesitate to contact this Department at extension 4750. Thank you. Attachments /r~$ ;ti!lJ '--t\ \' "'\ ~ 'N ~ ~ ~ ~~a:lEnH~ File # (7/./ ...0(1')/ -./2_ Recpl# ~V~ 001'192(8 APPLlCANTIOWNER INFORMATION: Applicant: ~#-'\ fJAG-6 COMMUNITY DEVELOPMENT Address: 8'o~ S s'U. #: :70/ Daytime phone #: 3bO -~5',:"'-7g7}r *Applicanfs representative (if other than applicant): Address: Daytime phone #: Property owner (if other than applicant): ~yy.,.... c~ 4rv(~ Address:/- 92 c:;?) :})~ .fh. )()rY-;J Lrd Daytime phone #:,.;)7//- ~.f9 -;- ~",~- ~ r>J J 0""5:,0..... PROPERTY INFORMATION: tU~~ Street address: ?3?- Legal description: Zoning: .I L Comprehensive Plan designation: .:r '-J 0, Property dimensions: So 'X (tItJ I Property area (total square feet): Physical characteristics (i.e., flat, sloped. vacant, developed, etc.): ;::-'I!.Ar t- <<" X c'o gLP6- 'T' -;) (yP~SK To I'.u.ssr ti b. l1.!Jfl r-~ .... PROPOSED USE INFORMATION: " '" Please describe the proposed use: 'b A R. ~ES /tlA~.vr tV / Go ~ l/JiS~ ~ r;"..L! j/ __ K€<! . / e I Number of employees: (, Hours of operation: /6 A~ - J.. A 4./J Number of on-site parking spaces: d (:::) Number of off-site parking spaces: :> - Building area (total square feet of floor area for the proposed activity): ..:.2 <100 tI SIGNATURES: Applicant: I cerlify that all of the above statements are true and complete to the best of my knowledge and acknowledge that wilful misrepresentation of infamation will terminate this permit application. I have read this application in its entirety and understand my that submittal will be reviewed for completeness and, if found to be complete, will be sChe~~d fO: the nextz::!:le Planning Commission meeting. '. . Applicant's Signature "\ Date /0 -/1 c::> /' ~. " Owner's Signature (if other than applicant): Date l\!jq.", t I I t I j , , . -,>-- -'-'-~' 'L.;.;. --, ~ s .x. :t '~ '~t ,:~., .f ' '~-",' 1cJ , l-""'I'~"~: .~ ~I ~~- "'- --'" .. ~ 'P., , r , ! - ~ ... -.~ I - -+ ~ t , i f~-'o ~ I I I -t . I I 1IC - ~~.......~ "",-~e:( "- '" '" ...'" G..q of.:! ....~..h, I I , 1I(..jO~~ l.J;..llJ~iUuj~lIll!:r:: I 1 '''''-+' - '--- "-- =.-- f' t ~< .. .. ~ .... j -,:~ 1~--<!t <<,~ -'-;-=L ~ I Ii" t ..., .... -1?.... '"-- h' ,~J ft' ~ ':.:t Ql.... "!t"...... . l ..........7 +-,. ..'--r--__...~,.. .J :/, I' ! I' j... --'~ . I t I '1.'-+ '( ~, I ~ ,-: ~b'l~/-g-' ~: ~ L I , .,,'.. I ~ 1\ ' i T "1-" j , 1 , , , :11 ..;,~~-..., i ~~i I' Ii r 'i ~ :;;!, , ; !. ,.. oJ>, "I. .. I'<l "r-r 'J.i i.v.) r .... 11-[ : (\1 :.,-~ , '" ,.- , . , t . f ~ !:t.-t-4t '!i(:""';':"::;l ~" ~ I I I 1 t t. ~1'" ~ tl\1~c ) j f ~::t- I :5":j I I t " t. 'I =8- 0- , ,D " .. ,~ I l""l I j , ,'- to. III ~ << ,.~ '.!J ~ " \ ~, tI ~: !It"'ll lit .. ~ ~ it. ~ l!j . \ ('> \ ~o\CI AD 6--eLeX;) ~ rfhl F'F-I Fe.. A p{-~ ROUTING SLIP 0' .OR) '~'. i:~~( "'). '; lcertificate of Occupancy (]~-;;, ~" '-.~ -t" ~ $47.00 Certificate/Inspection Fee - ^'u""c~~ DATE ~- JI-t)4 New Business . ....... . . . . . . . . . ..... ...... ( .J ) "- Address of Proposed Business Transfer of Business Location. . . . . . . ". ...... ( ) ~3A li) 31:. j) Change of Ownership. . . . . . . . . . . . . . . . . . . . . . ( ) Applicant N IeI(' ~Wvl-\n\AcJ-lE}e New Buiiding .. ................ ....... .. .. ( ) Address 3~ 1-tiJ"{ lOI E Remodel. .. ..".. .......... .. . .......... ( ) ~tl At-.)I.-Pl ,e<;.. (.vA. Temporary Business " .... .. ..... .......... ( ) Phone: business4?l. ~ 1? home (d13-QOZ2 Change of Use. . . ..... .. . . . . . . , . ... ....... ( ) Brief description of proposed business: Legal Description: Lot Block Subdivision Current Use of Property: V o.~",-,^,+ 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) . ....... y:. 2) Plumbing 2) Peddlers Plumbing changes ......... ................... -~ 3) Electrical 3) 2nd Hand Dealer -- New or relocated signs. ..... ........ .... ~ - 4) Mechanical 4) Pawn Broker New septic tanks. . Ii. 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 ..... y. 9) Sidewalk obstruction 9) Tattoo shop ......... ........ -- Work done in City right-af-way . y 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.) ......... 'I 14) Shoreline ..... -- Are the existing streets paved? ............. ~- 15) Home occupation Are there existing sidewalks? . ... .......... .... -~ 16) Conditional use Is there curb and gutter? )I.. 17) Other -- Other. . ... ...... .................... I hereby apply for a Certificate of Occupancy and acknowl- """ ~ he'';! edge that i have read this application and state that the information I have supplied is correct to the best of my knowledge. Signed:"'^ ~~ ~~ REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk P.B.lA ~, tN 'q.:) G OJ r- ~ . r-'.. I, 0( ( (