HomeMy WebLinkAbout123 W 1st St - Building
CERTIFICA.:rf:#VO'F'''''SCCUP ANCY
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In compbancewlth the\yarlOus ordinances ofthe'Cltyregulattng Buddtng
g ~'t:~.~..~~ ~f;i ;consth~~;i~_n o~.'u~~j~<For:>h/ig?l~rw'ihg~:;~~;;~~1 \
Use Classification: MerJaritileio;;Burl~~~g Permit -N~f.~;_~1u~T~~s N~e: :: Alley GaCBoutique
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Gmup M ,'~,:;fS6:~onstruction ~~;'~h.;i': ,,;'i~.;~!r;~?~\~~";~:'.~Br
Owner of Bus;ness: Tracy Hedin'" Address: 225 East9' ,Street.P0l1,Angeles';W A 98362
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Build;ng Address 123 West,i~' Street. ,'-Port An~'::]es\'WX.98!362
b/2 2003
Alley C\., \,L I C}-.'^'€- . V\ I;)
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ROUTING SLIP ,poAT_"
lO~G<,,(..
Certificate of Occupancy ~~l"'
~~
T - -: Certificate/Inspection Fee ~
~(IO~~
DATE C\ \ ;;}\O5 New Business ..... . ... " .. ,............. ( )
l )\
Address of Proposed Business Transfer of Business Location. . . . . . . ......." ( )
\d?! Ld 1St ~b Change of Ownership . . . . . . . . . . . . . ........ . ( )
Applicant "I-rnr i'-f' \--\-&\\ '"...I New Building .. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
A~S ~ ~' <1th ~ Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Temporary Business .... " . . . . . . ........... ( )
r-\:, , \? QS U)f\-, 3(0::2
Phone: business LI I' BCf1i home '-i~,;I. -LfL{Q~ Change of Use. . . . . . . . ... . . . . . . . , , . . . . . . . . ( )
Brief description of proposed business: (' )tr\I-.,.....,() .\-- ~O)l UlLv-lO
I l'\
Legal Description: Lot Block Subdivision
Current Use of Property: -1>814
Zoning Classification of Property:
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED:
Construction changes. .......... -~ PERMITS BUSINESS UCENSE
Electrical changes. . . . . -~ 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) . . -~ 2) Plumbing 2) Peddlers
Plumbing changes ....... -~ 3) Electrical 3) 2nd Hand Dealer
New or relocated signs. ........ -- 4) Mechanical 4) Pawn Broker
New septic tanks. ... ....... ..... ... -~ 5) Sewer 5) Dance
New sewer service ........ -~ 6) Sidewalk installation 6) Hotel - Motel
Admission charged to patrons. .... - --.::I.- 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-ot-way . . .......... = 'I' 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. _ -X... 13) Sign
(parking lots, downspouts, etc.) ........ -~ 14) Shoreline
Are the eXisting streets paved? . ....... -~ 15) Home occupation
Are there existing sidewalks? . ..... .. ... =7 16) Conditional use
Is there curb and gutter? ....... 17) Other
Other. .......... ..............
I hereby apply for a Certificate of Occupancy and acknowl- D"'~\~
edge that I have read this application and state that the
information I have supplied is correct to the best of my
knowledge. Signe. .-\ c1 o~~
AP!~V~~,REJECTED Comments / Conditions
I W~) Building Section
/ .' Public Works Department
9.11,.12 - S6! Planning Department
koo Fire Department
H-01- 13v , City Clerk
O/f- r:j; P.B.I.A.
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CERTI FICATE"O'F6CCU!P ANCY
. ." City of Port Angel~~';"
U;s"
Building Division
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This Ceftijiddiion.iss"ed.p"rsuam to the requirements ofSectioil:f09 of the
Uniforni'Bui/ding Code certifYing~ha~ at the timeofissufIflce this sf/;ycture was
in 4rnpliance with the vario"s ordinantesoftMCily'i'klJ4l(JP'1g BlIi/ding
'. construction or use. For the fql)(Jfvlng.' ....
Use Classification Antiq!.les
Building Permit No.
y,
Type of Construction
VN
Use Zone
CBD
M
OwnerofBusinessIResidence M?ri'on Maaiera Address 123 W. 1st., p;ort Angeles,
123 weS~.i~t ~t~;,.,.t.-c_L(/_._ :n/.C;:.- ;_~." ....::.......-..._._~o..~t .~,ge1es. WA. 98362
~-~~.~.":,".Jiln. 11. 2001
'l!~~I~m: Officl.l_;~_.___c;L..~::....... ......' .;:;'....,fil<
Post on.;thep~~w!~~~1~::~)c.~~s.Pic4Pus place.
Shall not b~re)n6v~4'~*~~IWbYr:!uil'ding Official.
, ;;"'I~;: '. 'r ",' ,- , ,.-.1:",50.
ROUTING SLIP
Certificate of Occupancy
$47.00 Certificate/Inspection Fee
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DATE 1;' - 3n - t') e:>
Address oU~roposed Business
I ?'3 G').. 1 <5'f C)r-
Applicant Mf\ f'-I () N tv\ AS I t=:.1Z.A-
Address f2::") fA J. I Si "') i
PA-
Phone: business Z - S 4--1 I home:/' - z... 5 ;2'-7-
New Business ..........................
Transfer of Business location. . . . . . . . . . . . . . . .
Change of Ownership. . . . . . . . . . . . . . . . . . . . .. (
New Building ............................. (
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. (
Temporary Business . . . . . . . . . . . . . . (
Change of Use. . . . . . . . . . . . . . (
Briet description of proposed business:
AAl'TIQl1E""::>
legal Description: lot Block
Current Use of Property: ----F? Gl A I L., ~l_E;'S
Zoning Classification of Property: (1- 13"0
Will THERE BE ANY OF THE FOLLOWING?
YES ~
-----:;;::;-
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-ot-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. ......................................
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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.
D
REJECTED
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
PB.I.A.
9./'t.iX). sf(
16/ho 111
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) 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: af~ () I d tJ-frO
Signed: ~~df ~
Comments / Conditions
:~'~1r'~i"'~. _..~~.~~ ~ ,~ 't-~'",~.
0" "i', -. ,.;- '. >~:/, . ,.' :', .' ,.,.; l'~' . .. '\ {., "','~ . ;"-"~\'Y.fl;,1'~>" 'f'~ ":~ t (Lif V~',...."".;' "'~;"''''',,i''' ~ "..";' \.::t.. ~'~ . _' 'f i:",,~ l ,. ,~,I;''(~. " .'" ,'~""" ~-'0. t.. ..~.
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.'
ROUTING SLIP ~.O"T '"
,.' ,\ <-Q~G<"<<,,
L/ CO Certificate of Occupancy i]~~",
L.. -=oJ
~
$47.00 Certificate/Inspection Fee -
'ti,"Cwc!"i--"
"
DATE <r;-~O -t')~ New Business .......... ... ............... ( )
Address of Proposed Business Transfer of Business location. .. . . . . . . . . . . . . . (>--:-)-
12 ~ '..l), I 'S:'t C)r-- Change of Ownership . . . . . . . .. . . . . . . . . .". . . . ( )
Applicant {V\Afa-10 N All AG I IE:. /2..p,- New Building ............................. ( )
Address I '2.. ~ l.d. I ~..::t <)..,.. Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
PA- " Temporary Business ... . . . . . . . . . . . . . . . .. . . . . ( )
bus'iness Zz~4-1 L home '7 - z..~87_ . .
. Phone: Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
S'.-1-t\'IDe- o<,.p 457-/507
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Brief description of proposed business: .
....,"'.".; . . ~",""., . ',., Block Subdivision
legal Description: lot .
Current Use of Property: ~bI"A.rL- D'PIUe,<;
Zoning Classification of Property: . ('t_.B'D
. ..
. 'THE FOllOWING Will BE REQUIRED:
WILL THERE BE ANY OF THE FOLLOWING? YES.' ~
Construction changes. .' . PERMITS . BUSINESS LICENSE
..... ... .. -----..:!."----;;iii""
.,. "-
Electrical changes. ............. - - 1) Building ......... 1) Taxi
Mechanical (heating, cooling, ,stoves) . .... -----l..L- 2) Plumbi.~g 2) Peddlers
Plumbing changes ............... -~ 3) Electrical"- '''f.; 3) 2nd Hand Dealer
.-L ' '..\-
New or relocated signs. ....... ... - 4) Mechanical 4) Pawn Broker
N?Vo{ septic tanks. .'. . ....;.-- . 5) Sewer 5) Dance
............................ - ,.
New sewer service ........... .......- \6) Sidewalk installation 6) Hotel - Motel ,A..)
-
../ ' .
Admission charged to patrons. - 7) Driveway installation 7) Fireworks r-
Is this a ho.me occupation? ----L ./ 8) Curb installation 8) Ambulance'
... ... - ..
Exca,:ation of filling of lots . /' 9) Sidewalk obstruction 9) Tattoo shop
- ../ If. . ,\,:
Work done in City right-of~way . ............ - 10) Water meter installation .10) Other'- "
Is there sufficient off-street parking? ...... ......... ~ 11) Fire
V '''.l
New driveway openings. . .......... ...... ... - 12) <?ccupancy ,
A grading plan for site drainage. ....... - ;/ 13) Sign '. . ,
.,.~. \-. . '.,"'< .
. (p~rki6g lot~;, downspouts;. etc.) .... .. 14) Shoreline "', . ..
./ ..
.Are,the_ existing'stree!s paved? "I":~'. 15) Home occupation J
.... .. .-. .::<>. 0/ - l'~.i
Are .th.e~.e existing sidewalks? . .' , 16) Conditional use
... - '.
.iL. .
'- Is there curb and gutter? : ...... .. ... - 17) Other.
.'.' .
Other. '.
I hereby apply for a Certificate of Occupancy and acknowl- (2ul:;' 3(),d~
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: .' aude ~-<L---L
.
APPROVED REJECTED ~comments/ Conditions.
Building Section I I\l~ :2. + IDeL h~'i:c- ~Y77p"'turl..e....
/Public Works Department f) 5/6..,,/ 4~()...g- " i'u><< 1-0 f4........" ~;.., I.t ,,,.-l~ It..L
Oc.v>. "T1h ,.
(1 ' '"
Planning Department OU-~'" e....... ~'..
10/11."'" -c-
-:Ii4 Fire Department
City Clerk
P.B.I.A.
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Certificate of Occupancy
lIIaa~ Certificate/Inspection Fee
DATE ~ ~ ~ New Business ............................
Address of Proposed' ~Business Transfer of Business Location ................
~,~ ~ _ ~ S~ ~ Change of Ownership ......................
Applicant ~r ~'~ ~'~ New Building .............................
A~ss ~ ~. ~*~ ~, Remodel .................................
~ -~S~ ~ ) ~,- ~/o~ TemporaW Business
Phone: businessJ ~[~ ~ ~ home ~ ~ -Lt~ , Change of Use ............................
Brief description of proposed business: ¢ ~,~ ~ ~),*~ L0
[o~al Doscdption: kot Block SuB~Msion
Gurront ~so of ~rope~y:
Zoning Classification of Prope.y: ~8 J ~
WILL THEBE BE ANY OF THE FOLLOWING? YE8 NO THE FOLLOWING WILL BE REQUIRED:
Construction changes ......................... ~ PER~IT~ BUSINESS LICENSE
Eleclricalchanges ........................... ~ 1) Building 1) T~i
Mechanioal (heating, cooling, stoves) ......... ~ 2) Plumbing 2) Peddlers
Plumbing changes ............................. ~ 3) Electrical 3) 2nd Hand Dealer
New or relocated signs ......................... 4) Mechanical 4) Pawn Broker
New septic tanks .......................... ~ 5) Sewer 5) Dance
New sewer se~ice ........................ ~ 6) Sidewalk installation 6) Hotel - Motel
Admission charged to patrons ................... ~ 7) Driveway installation 7) Fireworks
Is this a home occupation? ................. ~ 8) Ourb inslallation 8) Ambulance
Excavation of filling of lots ................... ~ 9) Sidewalk obstruction 9) Taboo shop
Work done in Ci~ right-of-way .................. -- ~ 10) Waler 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.) ~ 14) Shoreline
Are the existing streets paved? ................. ~ 15) Home occupation
Are there existing sidewalks? ............... ~ 16) Conditional use
Is there curb and gu~er? ....................... ~ 17) Other
Other ........................................
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the Date:
knowledge.inf°rmati°n I have supplied is correct to the best of my Signe(~~
AP pl~?~l~ ./~ R EJ ECTE D Comments/Conditions
~4,'~ Y//~ Building Section
Public Works Department
Planning Department
Fire Department
· City Clerk
RB.I.A
HOLD HARMLESS AND
WAIVER OF LIABILITY AGREEMENT
Name:
lJSC\ Dt:1bLLt~"
Date: '1- 1lf-- D H-
c;f,Phone:4SJ L{004
In
Address: \~ \ -- l :)""3W, F\l(~f
consideration of approval of the following described work at:
t..) \ · D ~ w.. ty.;t r!5Y~ ~::fle<;
for the purpose of: ~Ct t VI +- en ~ ~..e.... W -e ~(~ A
the ndersigned on behalf of the propert;bwners and their heirs
and assigns, hereby agrees to defend, indemnify, and hold the City of Port Angeles and its officials,
employees and agents, harmless against any claims and/or lawsuits for personal injury and/or
property damage arising out of, or in any way connected with, the above described proposal except
for injuries or damages caused by the sole negligence of the City.
N
Dated this
I~
dayof Uu;
2e1' ?--
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(Signature)
20d6-
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NOTARY PUBLIC in for the State of
Washington, residing in Port Angeles.
k>. / ~ ) My Commission expire~ c2 y -cJ~
,\~~y 0-//f-L~ /
?t4ftJT TOp OJ' WI'l-L-L - /I C! 57
?,4;tVI 1f5VT(ov 0+ (.{JlILL Uf' (;,' - ,13;1.( 7/3
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17799
c7- 0) f:""~
Port Angeles, Washlngton.mm.Z.um.....:;c:ummm.um..-.....---..m.. 19m'um
In accordance with the City Ordinance to regulate the Installation, extension. or repair of elec-
trical equipment In. on, or about any building or other structure In the City of Port Angeles, per-
mission Is hereby granted to dO electrical work as listed below.
Address U.!..~~/h_'l::uun__/._.~m3.mu__~~!.:_(~~O{m_nn.mm occupancyuu../.IJ~.uumummu
Owner .:t:~m~~-~~~~W. Tenant.m.._n_..mmmummm__.m._m__.__u__u....m.mm.m
Wiring Contractor u..U....h.....'__..___.mm.mm-.mmmu.un__..____u By.uuu__....uuum.m.h..h.nnu._._hmmm.mm......u
LIght OUtletB..................~.'...:....~.... se:lce. volts .../-!:..c;I...~?.c!.......
Receptacle Outlets...............................
No. wires ......................_____............
Dryer, KW _...h_....._............_...__.n____..__
Range, KW.h_...._n_nn.n.__.h_____
Water Heater:
Size wIres.....................__n.........._..
Main fuse .............._____..._..__............
Enclosure __..._..._...........____..___..__.....
KW--m..mm-.......~-'-m..f=g I
He.. KW..~.~.(...:>.........~i~
Type or wirIng;
Entrance Cable ....._......_______...
Motors: sIze. volts and phase:
.__{/.t~~..._.
I ~-
Rigid Conduit
Metallic Tubing ._____
Current transformers;
No. & Size._______.............______...
S~r. No...__....__.._____............_______....._....
Ser. No. ...__..___.____...............___..._........
Ser. No. ._..................__......._.............__
Total Load_____..___................_..
Ser. No..............___......__....._.....___.._...
Remarks: h-u___mmu...._nm.mm..._._n._UUUnUnn__._.m_u__.umm.mmuuu__....umuu.mu_..__mmmuu.....m.muu.u.m..
Total ......_____.._.........................
Type of WIring:
Armored Cable ......________..____..........
Non-Metallic ..........................__h.._
Knob & Tube________........._.__..........._
RIgid Conduit ......._............__.........
Metamc Tuhlng ..___..........__...._..._.
Raceway .........______......__........_......_
Circuits, Llght......................_...____...._....
Utiltty..._.........._........_.....................
I.leat __._....................___...._...._.._.._..
Range .....______....._.......___....._............
Water Heater .______.....__......._.........
Motor .h....__..__..._........___.................
Dryer __.__.__.....___.............................._...
Furnace .............-.-.........._......___m...._.
.u.__-_.__u.nuh.h___uu_unu_______u.__nn__.n.nn_unun.___._U__nn_n.u_____nnunuh.__.nn_u____.n___n_uu_.___..______nu..__.__nu__n.uou
.;~.=.~~.-.~~~....::-u.:..u__:.::::mu.h.::~.~.~::.~~.~.~~~.~...-__:..------uuu----u~;.--__gzi!!/4:LZ~~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
---.-\\
ELECTRICAL PERMIT
N~
.17799
Address............._..__._...__..............._....____....................._n_._..................._____................................_..Date..._.........._.___._.........._......_.__._..._........
Owner .........__._..__..................___.._._.._......~:.....__._.._..h....._.......___...............____..._......__.__.. Tenant..._......_______...........____..__.._.__.........._______.........
Wiring Contractor....____.._____._.........._._....._.......____...._..._........_.............___._..____............_____........._____. By ....._____..........____........._............._.._...........
NOTICE-Current must not be turned on until Certincate of Inspection has been issued. It' work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.