HomeMy WebLinkAbout707 E Front St - BuildingCERTIFIATEOF OCCUPANCY
City'of Port Angeles Building Division
1
This certificate is issued5pursuant to the requirement's' of Section Ill bithe 2O9 International Building
Code certifying that atz*Mne this structure was in compliance with the various ordinances
of the City regulatingfbuil4i0kpoiistruelioir for the following.-
Business name Allstate Elwood Benefits Inc ''(OWnet.'1Viatinerk Elwood)
Business address: :707. FrontIsi
v Darrel Vindept
Property owner
Property owner .s address r'' PO Box 153, po
Building permit number 11
Occupant load.
Use occupancy elaSSifiCation Business
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Per,;1131):9115e;
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Automatic fire sprinkler system.
Type of construction V 1611. ,„W.,g Ex::''l
03/28/11
S u et
M anager Date
Post on the premises in a conspicuous place. be removed except by the Building Official.
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CERTIZATE OF OCCUPANCY APPLICATION
CITY OF PORT ANGELES
Attn Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417-4711
PLEASE PR IN INK
Check one. New busmess in P.A. Change of ownership only? R owing location from within P.A.? El Zoning
BUSINESS NAME N\ \CA -ri.k- r,s
Business address 1-1;1- FbWr Sk. Mailing address Same
Phone number 3Ca 4 457— 6 /2OD Op= date I I lk Days hours of operation
Business owner's name ka.. E.LA, Contact phone 'IL e, en-co
Business owner's address Fra,.ss,—
Brief description of business Ku/ 3W
Property owner's name `06,s1 v Contact phone 7 C,o
Property owner's address /contact Sd—
BUILDING DEPARTMENT phone 417 -4815
Is the business a restaurant or bar that will seat 50 or more people? Yes No K.
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 1j
1 1i�
FIRE DEPARTMENT phone 417 4653
Changes to a fire sprinkler system or fire alarm system? Yes No
Work planned
CITY CLERK phone 417 -4634
Second -hand dealer /pawnbroker business? Yes No
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
$100
Bldg approval by on
Fire approval by on
PB /A (Parking Business Improvement Area Downtown) phone 417 -4623
Square footage of business? PB /A notified on
Is business moving within the PBIA? Yes No
Permit j 13L
FEES
Certificate [Inspection
Parking Business Improvement Area (PBIA)
fee .charged for'bowritowblocptibns
City Clerk approval by on
Cp
COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by on
Number of off-street parking spaces available for employees and
customers?
(A parking plan may be required.)
Signs? (wall mounted, freestanding projecting awning, A- frame, etc
Signs planned:
N re—ca-
,Gxi S-Hrna
ittuiktVU]1'eL0. C_,a.rc
PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles.
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, downspouts,
irrigation system backflow devices, etc) Yes No
Work planned MA
V
PUBLIC WORKS WASTEWATER phone 417 -4845
PWF pprovaf by J V on
c1or, �01,Y S
PWW approval by 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
Worms Building Division \Certificate of Occupancy Application (2010).doc
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 2 =1 I Print Name MeAga. E Lrb15 Signature
Page 2 of 2
as
2 -zZ
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CERTIFICATE OF OCCUPANCY APPLICATION Permit# 13 L
CITY OF PORT ANGELES
Attn. Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Property owner's address /contact 0,3k 54-
BUILDING DEPARTMENT phone 417 -4815 Bldg approval by
Is the business a restaurant or bar that will seat 50 or more people? Yes No
FEES
Certificate Inspection
Parking Business Improvement Area (PBIA)
fee charged for Downtown locations
PLEASE PR IN INK
Check one New business i l n P.A.? Change of ownership only? N. owing location from within P.A.? Zoning i
BUSINESS NAME 1\� rn�o 8 (.s n-nr 5 ..iJc�
Business address 1-b.`- amok SA--. Mailing address Sayre.
Phone number 3.o `A 5 Op:ii date i(tk Days hours of operation V
Business owner's name XI l- VD...) EN. Contact phone IC c.) cl c"= 92ou
Business owner's address E FT an+-‘c— s.- V J _JP 9s c2
Brief description of business •,.N(Jltc?
Property owner's name Ocsre\ V Contact phone C., Yom -32
/1 I1
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 I /1\.-
FIRE DEPARTMENT phone 417 -4653 Fire approval by
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 No
CITY CLERK phone 417 -4634
Second -hand dealer /pawnbroker business? Yes No
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
PBIA notified
on
City Clerk approval by T t on 7-' ZZ.- I I
COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750
Number of off-street parking spaces available for employees and
customers?
(A parking plan may be required.)
Signs? (wall- mounted freestanding projecting, awning, A -frame etc
Signs planned' n
N N3 zi re—c&-ca
eXi 41(116
t\„'141 inn: ('..arc)
PLEASE NOTE. NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles.
PWE approval by v on 2/Z'2
PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 -4812
Is site work,pl"ained (new or re- located sewer or water service,
exca'iationr 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 /I 1/4'
V
PUBLIC WORKS WASTEWATER phone 417 -4845
Will waste other than domestic household waste, be discharged into the sewer system? Yes No ra
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
I hereby apply for a Certificate of Occupancy 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. J}
Date 211_ Print Name A 6L�8/ Signature i aitUf
T \Forms \Building Division \Certificate of Occupancy Application (2010).doc
Please sign up for utility services at the cashiers' counter
Page 2 of 2
CED approval by 55 2 on 2.-2-4
X
PWW approval by on
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Clallam County Assessor Treasurer Property Details 61661 DARREL VINCENT T Page 1 of 4
Clallam County Assessor Treasurer
Property Search Results 61661 DARREL VINCENT TTE for Year 2011 2012
Property
Account
Property ID' 61661 Legal Description: SMITH, NORMAN R
LOTS 10 &11 BL 39
Geographic ID 0630005139550000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 63
Open Space: N DFL N
Historic Property' N Remodel Property' N
Multi- Family Redevelopment: N
Township: Section:
Range:
Location
Address: 701 E FRONT ST 707 Mapsco:
PORT ANGELES, WA
Neighborhood: Cycle 5 Comm Map ID 2
Neighborhood CD 20953140
Owner
Name: DARREL VINCENT TTE Owner ID 57769
Mailing Address. PO BOX 153 Ownership. 100 0000000000%
PORT ANGELES, WA 98362 -0021
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 02/09/2011
Amount Due if Paid on
1 Values
Improvement Homesite Value: N/A
Improvement Non Homesite Value N/A
NOTE. If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due
First Second
Half Half
Base Base
Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid Amount Due
2011 156083 ST SCH STATE SCHOOL $425.03 $425 03 $0.00 $0.00 $0 00 $850 06
2011 156083 CC -GEN COUNTY CLALLAM $234.64 $234 62 $0 00 $0 00 $0 00 $469.26
2011 156083 SD #121 SCHOOL DISTRICT #121 $555.59 $555 58 $0 00 $0 00 $0 00 $1111 17
2011 156083 CITY PORT ANG CITY OF PORT ANGELES $541 67 $541 65 $0.00 $0 00 $0 00 $1083.32
2011 156083 PORT PORT OF PORT ANGELES $33 03 $33 02 $0 00 $0 00 $0.00 $66.05
2011 156083 NTH OLY LIB NORTH OLYMPIC LIBRARY $98.40 $98.40 $0 00 $0.00 $0 00 $196 80
2011 156083 HOSP #2 HOSPITAL #2 $96.32 $96 31 $0.00 $0 00 $0 00 $192.63
2011 156083 WSMET PK DIST WILLIAM SHORE MET PARK DIST $29.28 $29.27 $0 00 $0 00 $0 00 $58.55
2011 156083 CITY STORMWATER CITY STORMWATER $121 42 $121 41 $0 00 $0 00 $0 00 $242.83
2011 156083 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0.00 $0.00 $0 00 $1 63
2011 156083 TOTAL. $2136.20 $2136.10 $0.00 $0.00 $0.00 $4272.30
2010 44360 ST SCH STATE SCHOOL $432.76 $432.76 $0.00 $0 00 $865 52 $0.00
2010 44360 CC -GEN COUNTY CLALLAM $230 30 $230 30 $0 00 $0 00 $460.60 $0 00
2010 44360 SD #121 SCHOOL DISTRICT #121 $560.54 $560 55 $0 00 $0 00 $1121 09 $0.00
2010 44360 CITY PORT ANG CITY OF PORT ANGELES $533.21 $533.23 $0 00 $0 00 $1066.44 $0 00
2010 44360 PORT PORT OF PORT ANGELES $32.37 $32.37 $0 00 $0 00 $64 74 $0 00
2010 44360 NTH OLY LIB NORTH OLYMPIC LIBRARY $66 92 $66 92 $0 00 $0 00 $133.84 $0 00
2010 44360 HOSP #2 HOSPITAL #2 $94 48 $94 47 $0 00 $0 00 $188.95 $0.00
2010 44360 WSMET PK DIST WILLIAM SHORE MET PARK DIST $30.06 $30.06 $0 00 $0 00 $60 12 $0.00
2010 44360 CITY_STORMWATER CITY STORMWATER $121 42 $121 41 $0 00 $0 00 $242.83 $0 00
2010 44360 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0.00 $0 00 $1 63 $0 00
2010 44360 TOTAL.
$2102.88 $2102.88 $0.00 $0.00 $4205.76 $0.00
http. /websrv8 clallam .net /propertyaccess /Property aspx ?cid =0 &year =2011 &prop_id =61661 2/9/2011
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