HomeMy WebLinkAbout4317 Tumwater Truck Route Address:
4317 Tumwater Truck Route
CE RTI FIC A-T7E7D'F-CY1CCU PAN CY
City/&i P,0ii Airi`ge�les -.Rui p idii,ing-16&iision
This certificate is issited,pursuant to the requirements, 09 International Building
/,/' of Section I Il-of i
Code certifying that atth i e time jfIssoan.ce this structure was in compliance with the various ordinances
of the City regulatin t Vding 66hsirucii�n'76)-usefiqr thefqllo- w-i
7-
t6nis
Business name:
Payne Cus
T- q
f
wate'r'Tru"Ok I t
Business address 43NT�Tum
f in Payne
Business owner.:, B"i'a
th
A.0363,
Business owner'sladdress.-, 1106
W 1
Automatiefire sprinkler-system: N/
Use &occupancy lassiflication: Business 7
-012 IBC, Tablo:-l�'0,',O*.4��l"�l�:",'�-,
Occupant load: e.2
Type of construction.",
10/28/2013
-dZ
ue� 656 10i Or Date
Post on the premises in a conspicuous plate. his
:,certifi,ca.t hall."I", t be removed except by the Building Official.
Permit# /3 c)
CERTIFICATE OF OCCUPANCY APPLICATION
FEES
CITY OF PORT ANGELES $50 Certificate / Inspection
Attn: Permit Technician
321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA)
(360)417-4815 fax(360)417-4711 fee charged for Downtown locations
PLEASE PRINT IN INK
Check one: New business in P.A.?El Change of ownership only? El Moving location from within P.A.? L-1 Zoning
BUSINESS NAME P11–�g�uC &A�k it, ,j
Businessaddress qT7 4V)K"-7� Mailing address
Phone number 3U Cl�-�- 6d?-& _Opening date_ Days & hours of operation q_- 36 – a
Business owner's name &-l".1 -Pcc,�1,P - Contact phone )6.-o �/-?-3L O�-
Business owner's address //0 (e C.,e�,t–1 6
Brief description of business—4!::2k
on -1 Od 7 G
V-2-7
Property owner's name 31d A 'I C tarA Dhone
Property owner's address/contact ff�(p Jd 4- ro
BUILDING DEPARTMENT phone 417-4815 Bldg approval by on
Is the business a restaurant or bar that will seat 50 or more people? Yes El No )41—
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:
FIRE DEPARTMENT phone 417-4653 Fire approval by_on
Changes to a fire sprinkler system or fire alarm system? Yes El No
Work planned:
PBIA (Parking Business Improvement Area -Downtown) phone 4174623
Square footage of business? notified_on
Is business moving within the PBIA? Yes D NoV1
CITY CLERK phone 417-4634 City Clerk approval by on
Second-hand dealer/pawn broker business?Yes 0 No
Will there be dancing at this business? Yes El 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_on
Number of off-street parking spaces available for employees and
customers? O'�o
(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.
PUBLIC WORKS DEPARTMENT- ENGINEERING phone 4174812 PWE approval by_on
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 0 No
Work planned.
PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by_on_
Will waste, other than domestic household waste, be discharged into the sewer system? Yes L1 No
If yes, what will be discharged:
Call for Certificate of OccupancV 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—"4 - Print Name MIN Signature
T:TormskBuilding Division\Certificate of Occupancy Application(2010).doc
Page 2 of 2
PREPARED 4/01/13, 11:45:33 INSPECTION HISTORY REPORT PAGE I
PROGRAM BP521L 0/00/00 THRU 0/00/00
CITY OF PORT ANGELES
------------------------------------------------------------------------------------------------------------------------------------
APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID
STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR
------------------------------------------------------------------------------------------------------------------------------------
13 00000130 4317 TUMWATER TRUCK RT 06-30-09-5-0-091C-0000- 063009500910
000 000 co 00 CHANGE OF OCCUP/USE C01 0001 13LDG C/O INITIAL INSP 2/08/13 APPROVED JLL
REQ COMM: February 8, 2013 8:59:44 AM pbarthol.
REQ COMM: Brian 477-0276
RES COMM: February 8, 2013 4:30:07 PM jlierly.
CERTIFICATE OF OCCUPANCY APPLICATION Permit#
IR
O�
...... ......
FEES
CITY OF PORT ANGELES
$50 Certificate/Inspection
Attn: Permit Technician
321 E. Fifth St., Port Angeles,WA 98362 $100 Parking Business Improvement Area (PBIA)
(360)417-4815 fax(360.)417-4711 fee charged for Downtown locations
PLEASE PRINT IN INK
Check one: New business in P.A.? Change of ownership only? 0 Moving location from within P.A.? D Zo n i n g
BUSINESS NAME PA-,(4,hk...
Businessaddress q,21"I Mailingaddress
Phonenumber 3GO C/2 � Opening date Days& ho.urs of operation q: 36 -
Business owner's name (C4 1"', C�pntact,phone Xf�0 -9- OZ7
Business owner's address (e W e,�',f�- 7/,K j,
Brief description of business
Property owner's name lbac, C7taAphone .)(,C, V�'-� Od76o
Property owner's address/contact Fo �1�1 �)r M L2,S
BUILDING DEPARTMENT phone 417-481,5 "pploval by. on
Is the business a restaurant or bar that will seat 50 or more people? Y e s .0 No PL_
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:
FIRE"DEPARTMENT phone 417-4653 Fire approval by on 3
ZChanges to a fire sprinkler system or fire alarm system? Yes NoV
Work planned:
PBIA (Parking Business Improvement Area-Downtown) phone 417-4623
Square footage of business? PBIA notirled on
Is business moving wit hin the PBIA? Yes 71 No14,
CITY CLERK phone 417A634 City Clerk approval by on
Second-hand dealer/pawnbroker business? Yes 71 No�j_
Will there be dancing at this business?Yes i-I NoA
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