HomeMy WebLinkAbout124 W 1st St Ste A - Building
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J (2 , .JL...U ING SLIP
----r-:r e(LSlU~S OU\CA OeA-iono.\ _ \ ':I~I
J <:'lc..' "" Certl Icat of Occupancy
\' $47,00 (ertif ate/Inspection Fee
DATE {'{)Cv-\ ,~16: '() ~ ......
Address of Propose~ B~~ness I S \
IJ)'-IA U )P,:<,UIIS-r +,
Applicant <.ShCl \J..Y\ '" ('') ~
Addre~s \~q ~ <'\c~~ L~- Rd
tb--1::: A_g k~ IDr-\. <'j~3103
,
Phone: business home .!:!S::Ho I L,O
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-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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New Business """""""""""""" f"><')
Transfer of Business location, , , , ' , , , , , , , , , " ( )
Change of Ownership, , , , , , , , , , , , , , , , , , , , " ( )
New Building '" , , , , , , , , , , , , , , , , , , , , , , , , " ( )
Remodel, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , " ( )
Temporary Business , , , , , , , , , , , , , , , , , , , , , " ( )
Change of Use, , , , , , , , , , , , , , ' , , , , , , , , , , , " ( )
Subdivision
YES NO THE FOllOWING Will BE REQUIRED:
- g PERMITS BUSINESS LICENSE
- 1) Building 1) Taxi
- -"I.......- 2) Plumbing 2) Peddlers
_L- 3) Electrical 3) 2nd Hand Dealer
- - 4) Mechanical 4) Pawn Broker
- L 5) Sewer 5) Dance
- ~ 6) Sidewalk installation 6) Hotel - Motel
- ~ 7) Driveway installation 7) Fireworks
- --'K....- 8) Curb installation 8) Ambulance
- ~ 9) Sidewalk obstruction 9) Tattoo shop
- ~ 10) Water meter installation 10) Other
- :L.- 11) Fire
- L- 12) Occupancy
- - 13) Sign
- - 14) Shoreline
t - 15) Home occupation \
- 16) Conditional use
- 17) Other
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,
"lr7!~"mD
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
!?;Jt
Date~
Signed'. ;-1t~~
Comments / Conditions
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City- Po rt Angeles B D visio
This certificate is issued� rsuhe requirements• of Section 111 of the 2099 International Building
certifying that at.the ti� •o ant f to t
issuance this structure was in compliance with the various ordinances
Code cert
of the City regulating construction or use for the followi1,C4:',.
r r x s. s 3 >x
Business name: Clallam C nt
ou y Democrat
re: 4 Business address ti 1`24 West 1st Street Suite °�A
F
Property owner: Cat Thomas Harper Trus
Property owner 'stadd ress 122 West 1S Stre et Port A nge le s, WA 98362
Automatic fire sprinkler .system Not ‘Requ ired
Use occupancy classification: Busine
Building permit number 12 551
3 Occupant load: Perr2009 IBC, Table 1004 1'1 T ry� 4
-!,r, k 5 °ve t 1 r•k.. c5'1F !t t r r� `Fi`' i Type of construction: V B* K* r m s h t
o-k> :A .,.M3.sJ n.7d.a+.. Wsuu."s1. a L. tt7,:n t'
ter, w e
7 -26 -12
u e Rob Plate tng Manag Date
a r y a r J, Z; Jug"' ,,,,0- ^s
Post on the premises in a conspicuous place Th ce rtificat s o- hall not be removed except by the
Building Official. [n]
1 ar` f fy,. A 3�5 u t n 5 Q .v k7' i��''_. `-sa ,�7c t 'kt 1 "s n, 4, ry v t fik S i 1 h i �;.v 1�
d }s }yri;{P d *:;1 a`' 7', t n •N 04... I 5 t w C 3 r 7 .i f i 3• yr s •x }..7r �5s r f fi, r o- ti O
�..vi �`'f a ea a�4. '�.,u Est r 'sa t r
0 ,0R r4 c Permit# CERTIFICATE OF OCCUPANCYAPPLICATIO �Z 5S
FEES
CITY OF PORT ANGELES $50 Certificate Inspection
R R 41I "y" At tn: Permit Technician
ky $100 Parking Business Improvement Area (PBIA)
E. Fifth St., Port Angeles, WA 98362 9 p
('.60) 417 -4815 fax (360) 417-4711 fee fee charged for Downtown locations
MAY 7 2012
CITY OF PORT ANGELES PLEASE PRINT IN INK d (f000 607-15
I G ■q- in P.A. ?LChange of ownership only? Moving location from within P.A.? Zoning 66 D
BUSINESS NAME C.IG.1Ic„nn. 6nu h I'` I/pW► r..+p
Business address f 2A Prk4 F i0, r51'2 Mailing address j3 ox 21 51
Phone number 3(,U- 95 a o5a0 Opening date Ma I5 Days hours of operation w; I/
Business owner's name Cte,1( Ca�y1 bp,„„ cow .contact phone 36,0 452 ogo/b
Business owner's address 1 30x 245 Avt1alef vUA 'i$ 362,
Brief description of business 0 ,e y Ca w y
Property owner's name L 1 e 4 t p (4 o r Contact phone 3 (00 5 0 2210
Property owner's address /contact 12 z W. s'r 5'P f 6 i A" e 2
C ll fh oYY\Gt5
BUILDING DEPARTMENT phone 417 -4815 Bldg approval byZV LL/ on GJ`q <o"
Is the business a restaurant or bar that will seat 50 or more people? Yes No X
Construction changes planned (moving walls, adding /enlarging windows or doors, roofing, siding, foundation work,
adding /altering stairways, ramps, bathrooms, electrical, heating /cooling /ventilation systems, etc).
Work planned: Isv e✓t ty I I re vole b �.i -L y r o �s w. i'o An at e- t4 Ina ca pp
-�r
e C tom(] 1 Y�-o e WIA"ten 1i'lis W ke
FIRE DEPARTMENT phone 417 -4653 Fire approval by [4'1) on 1.2S- Or
Changes to a fire sprinkler system or fire alarm system? Yes No
Work planned:
PBIA (Parking Business Improvement Area Downtown) phone 417 -4623 ``PP
Square footage of business? 4 U PBIA notified v //��l� on GJ 8' d'
Is business moving within the PBIA? Yes "No
CITY CLERK phone 417 -4634 City Clerk approval b i 1�
Second -hand dealer /pawnbroker business? Yes No X
Will there be dancing at this business? Yes No
A City of Port Angeles Business License is required for:
Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance,
Hotel Motel, Fireworks, Ambulance, and Tattoo Businesses.
Page 1 of 2
COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by C_ on Jam' 1?
Number of off street parking spaces available for employees and fbrKt n -kora V€ I1 7
customers? /VA
(A parking plan may be required.)
Signs? (wall- mounted, freestanding, projecting, awning, A- frame, etc
Signs planned:
PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles.
PWE approval bA t7y s
PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417 -4812
Is site work.planned (new or re- located sewer or water service, t\VADMoneints
excavation, grading or filling, work in City right -of -way,
new driveway openings, site drainage, parking lots, downspouts,
irrigation system backflow devices, etc.). Yes No
Work planned:
PUBLIC WORKS WASTEWATER phone 417 -4845 Pwwapproval by NI/St on
Will waste, other than domestic household waste, be discharged into the sewer system? Yes No
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 °5 Print Name t-R 5 &R IrR. Signature (1 .'r G1 64-'04 4
T: \Forms \Building Division \Certificate of Occupancy Application (2010).doc
Page 2 of 2
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Heather Catuzo
From: Roger Vess
Sent: Tuesday, May 08, 2012 12:48 PM
To: Heather Catuzo
Subject: C of 0 12 -551
Engineering has no comments.
Roger Vess
Assistant Civil Engineer
City of Port Angeles
360 417 -4812
cell 360 775 -8901
rvess@cityofpa.us
1
pokr CERTIFICw T OF OCCUPANCY APPLICATION Permit �2 5 S I
LAC r f(F,!`
FEES
CIT'A PORT ANGELES E R Attn: Permit Technician $50 Certificate Inspection
E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA)
60) 417 -4815 fax (360) 417 4711 fee charged for Downtown locations
MAY 7 2012 0 150
CITY OF PORT ANGELES PLEASE PRINT IN INK
�b a1620 )G1N° in P.A.? ZChange of ownership only? Moving location from within P.A.? Zoning C B C
BUSINESS NAME 1116.11 A o u r\ De vn o c- 4
Business address 1 A FIR. ST trA r Mailing address 3 o z15j- 1
Phone number 5 (0o- 95 2. 0500 Opening date M i 5 Days hours of operation lJ v a.y
Business owner's name Clc..l(G,A„ Cow• hovv, Cevtfirei G,o,�.Contact phone 36,o —'5Z 05
Business owner's address 130x 244 4 10 1, 5 tAJA y,5 3 6 Z
Brief description of business U-)e e ;he, .t Cc., p 4 u e j
Property owner's name- GA,f -L e .—;et P f -p o Contact phone 3 (40 5 o q 2210
Property owner's address /contact 2Z t.,U, s 'r 51'2E t T Pr/ .L) A 9 f3 3-42 2
BUILDING DEPARTMENT phone 417 -4815 Bldg approval byC L1/ on `q {e
Is the business a restaurant or bar that will seat 50 or more people? Yes No X
Construction changes planned (moving walls, adding /enlarging windows or doors, roofing, siding, foundation work,
adding /altering stairways, ramps, bathrooms, electrical, heating /cooling /ventilation systems, etc).
Work planned: IL a 1'v I I y v�y re -Mole' b �.1-L ra vw.— fo v o i4 Ir e.. „di Celp
C
rncGPS Nv p; J, e pP ov►.
FIRE DEPARTMENT phone 417 -4653 Fire approval by on
Changes to a fire sprinkler system or fire alarm system? Yes No
Work planned:
PBIA "(Parking Business Improvement Area Downtown) phone 417 4623 aaon Square footage of business? 1 �4vu PBIA notified J'$ a I d
Is business moving within the PBIA? Yes iVNo
C /TY CLERK phone 417 4634 I (I/ City Clerk approval by (A' on I
Second -hand dealer /pawnbroker business? Yes No E
Will there be dancing at this business? Yes No L
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
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ORr a CERTIFICATE OF OCCUPANCY APPLICATION Permit# �Z... S I
010,7, FEES
'CITY OF PORT ANGELES
$50 Certificate Inspection
r Attn: Permit Technician
E 1 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA)
(f60) 417 -4815 fax (360) 417 4711 fee charged for Downtown locations
1 2012
CITY C7p PC7R7 :ANGELES
PLEASE PRINT IN INK
G ga in P.A. ?YChange of ownership only? !1] Moving location from within P.A.? iLi] Zoning CB D
BUSINESS NAME C I G1 I c„M 6r>v nt v+1 o
Business address l 2.9 A Fr 5 T2 e=-r Mailing address Box z151
Phone number 3 (c7(.3 15 a o50:co Opening date M., 15 Days hours of operation .A I
Business owner's name CI,. l( Co��i 11w� ev1rwl Gr,,; Contact phone 3‘,0 --45a 05o 6
Business owner's address 13 2.464 s� Rlrf vvA 8 3 6 y
Brief description of business (,Ter --c.+ i Cc. w,r 1ti, la r
Property owner's name (AA) e r r 1 P (4tv o r Contact phone 3 (d 6 2210
Property owner's address /contact 1 21 5:►.R.E" �T rLif;: cp f' ')p3 36 2-
BUILDING DEPARTMENT phone 417 -4815 Bldg approval by on
Is the business a restaurant or bar that will seat 50 or more people? Yes 11 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: iSkieA1 -I I y wV� re rio1. Io 4 f rovn. 4'o c r r� +na�G i4- inevo,Sice, fp
c^C .4P�S NU Trvw'P 4,-a,.ti W(n r, vt Trlis L. harp
FIRE DEPARTMENT phone 417 -4653 Fire approval by KO>. on 7 Z5•ZJI
Changes to a fire sprinkler system or fire alarm system? Yes iJ No
Work planned:
PBIA (Parking Business improvement Area Downtown) phone 417 -4623
Square footage of business? 4 ikt PBIA notified on
Is business moving within the PBIA? Yes SYNo
CITY CLERK phone 417 -4634
City Clerk approval by on
Second -hand dealer /pawnbroker business? Yes 1 No )‹ii
Will there be dancing at this business? Yes No
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
Use Classification:
Group: M
Owner of Business:
Building Address;
CE RTI FI Ckr'E"'OF-a,CC U PAN CY
~ll;~i~!i:~rk~isf:~
This CjrVi~~t{on:ifs~.e1IJ.urs~uant to the require,":f".nts ofSection~09 of the
Unifor"JlBr'ie~niM;:,01f!)cfr.tiflmg;tlJ:fJ!JI !~~ Y,",fo!i;,f~'!'lf},f~~ thIs st~ucture was
In co,mpft':J;';f;;'W-I(t} the\v{Jnp!'~':'~!f!,c:nf5s;,?~.th'!-"c9!.Y:r:_~9..~J,f!,~!fl? BUIldmg
I j. ";;~,::~\l:t<\,>constructtO.n,:or,!!se.:. f:/!~.t!':fQllo~'c,!g: .."7;.~,.:~; \
Retail ?!3i1tl~i~g~p~.~t No.: ~..' '.~:, .o-B.usioe~No/n;;J '.".~Tre'asuie~s cand:Beyontl
\ '~.,~;() . ~ ..::,,'.\::,'>.};,,:t':~,.'.,}r;-:;::,'~ ~
.' ,."Type.~f,Construc"on: ..y,N- "'.:; ;', ':-'~' ;!J"e;ZoD:,:>~',CBD
, ~" "~-~L'-';,~~; , ; '-',~,::,i,:/'A~:~'~ ~>~~~,. ~~~. ',~,,':'t ~:f1~: '<":':, ,) I
Shauna'GentrY~ Add,ess 193 Siui.ahagen.Road.. Port An~eles, W A 98362
124 we~\ist~t&eet..Suite A ,...., .,', "'~"-port;jji~I'ls.k A, 98362
" ~~, /.
. ,Vi".\;' er 7 2003
Shall
\1.>-"0. I S I
-- . e- ~ 6 and ROUTING SLIP
\ yeo...sL-U S eA.J .-\~Certificate of Occupancy
10.$47.00 Certificate/Inspection Fee
...
'.'.,
-
DATE IYl Cu-I ~ '6, \) ~
Address of Propose9 B~ness I S I
J!)L/A IA )"_:,>UI,S-r +
Applicant SbC\\b..Y\"'- ('''J~
Addreys \~q?-; .')o_h.olk<;y IA. RJ.
tb,t A_g le.s IDr-\- q~3103
.
Phone: business home Lfs.;;/-Io I (,,0
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 ... .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................ .
G;'r+ ,~hoD
I
Block
YES NO
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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.
"717'/o('''''D
b-IIr06 -5/\
kDj)
10- 13-0:3- W
01<
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
~~.~
-,ij. 52 I
New Business ............................
Transfer of Business location. . . . . . . . . . . . . . . .
Change of Ownership. . . . . . . . . . . . . . . . . . . . .
New Building ............................
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business .......................
Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . .
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) 01her
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: JE:
Signed' / ~
Comments / Conditions
/
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