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Home My WebLink About233 W 1st St Room 206 - BuildingDATE Address of Proposed ,isiin7 Z rfi nt Applica Address Phone 0 L1,�/l/�1eleike Lvm in ess nce reGet math ROUTING SLIP x.12 ionda Vi Rd� Certificate of Occupancy 3O 00 n (Z PO Angel�,Iu,/� gg36 z50 00 Certificate /Inspection Fee J /iii r J /I GI M" 2 lyhome g5- ten business Brief description of proposed business Legal Description Lot Current Use of Property Zoning Classification of Property WILL THERE BE ANY OF THE FOLLOWING? Construction changes Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs New septic tanks New sewer service Admission charged to patrons Is this a home occupation? Excavation of filling of lots Work done in City right -of -way Is there sufficient off street parking? New driveway openings A grading plan for site drainage (parking lots, downspouts, etc.) Are the existing streets paved? Are there existing sidewalks? Is there curb and gutter? Other u 11-15 R \.li -Is ��f /iJ T REJECTED aie edadAr_e/74/vy YES Block Subdivision I hereby apply for a Certificate of Occupancy an acknowl- edge that I have read this application and ate that the information I have supplied is correct to t e best of my know) e Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use Date 6) 7) 8) 9) 10) 11) 1 13) 14) 15) 16) 17) Signed Conditional use Other 6) 7) 8) 9) 10) o pen s 3 O IL C R UIRED• S LICENSE THE FOLLOWING WILL BE PERMITS BUSIN 1) Building 1) axi Peddlers 3) Electrical I v Aq3) 2nd Hand Dealer 4) Mechanical pti 4) Pawn Broker 5) Sewer v Q 1/ 5) Dance Sidewalk instal ion Driveway in allation Curb in :Ilation Side. -1k obstruction W er meter installation ire Occupancy Sign Shoreline Home occupation ys, 4 �1o&rs 5rl 4 Sa majbe.ThvrS arn �"1fYY+ Hotel Motel Fireworks Ambulance Tattoo shop Other Ad Nov 0/%94 Alva s But-4et+ Comments Conditions d2 -0 c_ 11ek -A nAme,_ he b 1 coh erg_ S s--ad r, d S�,e CoS� Th, u;t° i C ID v 2QO$, Wh en you are almost ready to open your business, please call for Certificate of Occupancy inspections: Call 417 -4815 for a Building Dept. Inspect. Call 417 -4653 for a Fire Dept. Inspection. Please provide a minimum 24 hour notice PREPARED 11/16/07 10 49 23 INSPECTION TICKET PAGE 12 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/16/07 ADDRESS 233 W 1ST ST UP SUBDIV TENANT NBR ANDREA BURGETT CONTRACTOR PHONE OWNER JERRY D WHITE /DEBORAH HOMENKO PHONE PARCEL 06 30 00 0 0 1455 0000 APPL NUMBER 07 00001330 CO- CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS CO99 01 11/16/07 JLL BLDG C/O FINAL TIME 04 00 OVERRIDE TAKEN BY LPANGRLE DATE 11/15/07 TIME 09 32 14 k11_IO1 04/06/2006 09 03 AM PBARTHOL ��OOII November 15 2007 9 30 29 AM 1pangrle rCIf ANDREA 461 2464 VV C OF 0 FINAL LUMINESSENCE (UPSTAIRS #206) I REQUESTS A 4 00 PM INSPECTION L COMMENTS AND NOTES ;ii i'eff 1 /e L Urn inessQnce. -ft 01- I ,3O DATE -'iVe t■c-,11 ROUTING SLIP 12 (ot Or Vr +G Certificate of Occupancy Ar t 1 0 r d $50 00 Certificate /Inspection Fee Address �offProposed Business r Qg !�.a, :c?" 1 r 1-0 r/ tit Applicant /d /4 Address 1 r Phone business )f 2�I� home Brief description of proposed business. Legal Description Lot Current Use of Property Zoning Classification of Property WILL THERE BE ANY OF THE FOLLOWING? Construction changes Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs New septic tanks New sewer service Admission charged to patrons Is this a home occupation? Excavation of filling of lots Work done in City right -of -way Is there sufficient off- street parking? New driveway openings A grading plan for site drainage (parking lots, downspouts, etc.) Are the existing streets paved? Are there existing sidewalks? Is there curb and gutter? Other 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 APPROVED REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk �PB I.A. YES Block 5 0 New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use Date Signed Subdivision NO THE FOLLOWING 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 I our, i r WILL BE REQUIRED 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 NvV 1 Le l t L r ti ;A11AI ti. OUr4e1 Comments Conditions .P x1A n \Q