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HomeMy WebLinkAbout806 Juma Court Address: 806Juma Court PREPARED 5/10/13, 8:49:36 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY ,+ DATE 5/10/13 ------------------------------------------------------------------------------------------------ ADDRESS . : 806 JUMA CT SUBDIV: CONTRACTOR DAN DODD INC PHONE (361) 670-6552 OWNER TIMOTHY AND ADRIANNE BOYLE PHONE (457) 466 PARCEL 06-30-01-5-3-0000-0000- APPL NUMBER: 12-00001180 RES ADDITION PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL3 01 11/08/12 JLL BLDG FRAMING 11/14/12 AP November 8, 2012 9:58:02 AM pbarthol. Tim 457-0466 November 14, 2012 10:14:27 AM jlierly. BL99 01 5/10/13 BLDG FINAL May 9, 2013 4:16:46 PM pbarthol. Tim 457-0466 -------------------------------------- COMMENTS AND NOTES ----- BUILDING PERMIT INSPECTION RECORD -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS-- Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. �1 POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls . Ceiling FRAMING: Joists/Girders/Under Floor ' Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Fumace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Siab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: r FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By r(. Electrical 417-4735 Construction-R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 TCnrmc/Riil.iinn fli.iicinn/Riilriinn permil -^8�►. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12-00001180 Date 9/24/12 Application pin number . . . 317700 Property Address . . . . . . 806 JUMA CT ASSESSOR PARCEL NUMBER: 06-30-01-5-3-0000-0000- REPORT SALES TAX Application type description RES ADDITION on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 3000 ---------------- Application desc enclosing porch ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ TIMOTHY AND ADRIANNE BOYLE DAN DODD INC 806 JUMA CT 3021 EDEN VALLEY RD PORT ANGELES WA 983635024 PORT ANGELES WA 98363 (457) 466 (360) 670-6552 Other struct info . . . . . HARD SURFACE AREA ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . Permit Fee . . . . 109.75 Plan Check Fee 71.34 Issue Date . . . . 9/24/12 Valuation . . . . 3000 Expiration Date 3/23/13 Qty Unit Charge Per Extension BASE FEE 95.75 1.00 14.0000 THOU BL-2001-25K (14 PER K) 14.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 109.75 109.75 .00 .00 Plan Check Total 71.34 71.34 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 185.59 185.59 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. 1v,�,tzt�t*nl VoDC) Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Bui[ding Division/Building Permit THE CITY 0p NGELB For City Use A Permit # � Date Received: rZ 321 East 5'hStreet Port Angeles, WA 98362 ate A roved: A V, JA P: 360-417-4817 F: 360-417-4711 V1 hcatuzo@cityofpa.us Building Permit Application Prosect Address:0� M C1 n �� �� � Main Contact: Phone # rbArJ wrz�o 360 Property Name Phone Owner pu +�N� 0 t_� Mailing Ad ress Email Sv MIN CX City State Zip Awa Contractor Name Phone - "'�)IatJ IDvi:)p ivc- 360 6-10 6'13S Mailing Address Email -sb`2-\ re—''9e-tJ vaj:LL �Z 1? City State Zip �- rJ Z-s �, �►-� X8363 Contractor License # '-DA 1'J D®DJ-- c) 31 1 Expiration: 3 ��1 Project Value: Zoning: Tax Parcel # Lot# $ 3®0® � Type of Residential Commercial ❑ Industrial ❑ Public ❑ PermitDemolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ For the following, fill out both pages of permit application: New Construction ❑ Remodel ❑ Addition Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No , Project J l Lc) �, W lNl t� Z /V 0 IFOENC. Description ID 5A IC-LO.S I have read and completed the application and know it to be true and correct.I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required,and to obtain permits prior to working on projects.I understand the plan review fee is not refundable after review has occurred.I understand that I will forfeit 20%of the review fee if I cancel or withdraw the application before plan review has occurred.I understand that if the permit is not issued within 180 days of receipt,the application will be considered abandoned,and the fees forfeit. Date Print Name Signa"r Residential Structures Area Description(SQ FT) Existing Proposed Minimum$ For Office Use value Basement First Floor Second Floor ' Covered Deck/Porch/Eno Deck Garage Carport Other(describe) Area Totals Commercial Structures Area Description(SQ FT) Existing Proposed Minimum$ For Office Use value Structure(s) Addition Tenant Improvement Other(describe) Area Totals Lot Site Coverage Calculations Footprint(SQ FT) of all Structures: Lot Size: %Lot Coverage SQ FT Site coverage(all impervious+ %Site Coverage structures Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project Air Handler Size: # Haz/Non-Haz Piping #of Outlets: Appliance Vent # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # repair/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping #of Outlets: Water Heater # Medical gas piping #of Outlets: Water Line # Vent piping # Sewer Line # Industrial waste pretreatment # interceptor Other(describe): N O N O ' N O N is u h The Issu nce o nt data sh of cuors m " Czgaons and other � fr,m thereafter reQui�` tl c" rE �tirio 0 P° �s , ogelcttons bu!lding o�Erat;ons b.. L,+ of Li1W ! J M Vio{at. of all Code's a- 04 „N M O N 00 "ti O O 3b Dcx�2S Feu„ (47E maces 5 _ ��TG' °t5x 60 C-� c G 3-CC) x C-, -- p -© X 8 O OC-VJ CcrjC k-i 4 r4 Clallam County Assessor& Treasurer - Property Details - 62932 TIMOTHY AND ADRI... Page 1 of 3 Clallam County Assessor&Treasurer Property Search Results>62932 TIMOTHY AND ADRIANNE BOYLE for Year 2011 -2012 Property Account Property ID: 62932 Legal Description: LOT 1 ALPINE ESTATES Geographic ID: 0630015300000000 Agent Code: Type: Real Tax Area: 0010-PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment:N Township: Section: Range: Location Address: 806 JUMA CT Mapsco: PORT ANGELES,WA 98363 Neighborhood: PA Sublots Res Map ID: 3 Neighborhood CD: 5201000 Owner Name: TIMOTHY AND ADRIANNE BOYLE Owner ID: 15075 Mailing Address: 806 JUMA CT %Ownership: 100.0000000000% PORT ANGELES,WA 98363-5024 Exemptions: Taxes and Assessment Details Property Tax Information as of 09/10/2012 Amount Due if Paid on:` NOTE:If you plan to submit payment on a future date,make sure you enter the date and dick RECALCULATE to obtain the correct total amount due. Click on"Statement Details"to expand or collapse a tax statement. + First Half Second Half - Year Statement ID Base Amt. Base Amt. - Penalty Interest Base Paid Amount Due Statement Details 2012 45013 $1174.08 $1174.02 $0.00 $0.00 $2348.10 $0.00 Statement Details 2011 157213 _ $1216.52 $1216.45 $0.00 $0.00 $2432.97 $0.00 Values - (+)Improvement Homesite Value: + $0 (+)Improvement Non-Homesite Value:+ $143,873 (+)Land Homesite Value: + $0 (+)Land Non-Homesite Value: + $60,000 (+)Curr Use(HS): + $0$0 (+)Curr Use(NHS): + $0$0 -------------------------- (_)Market Value: _ $203,873 (—)Productivity Loss: — $0 -------------------------- (_)Subtotal: _ $203,873 (+)Senior Appraised Value: + $0 (+)Non-Senior Appraised Value: + $203,873 (_)Total Appraised Value: _ $203,873 (—)Senior Exemption Loss: — $0 (—)Exemption Loss: — $0 -------------------------- (_)Taxable Value: _ $203,873 Taxing Jurisdiction Owner: TIMOTHY AND ADRIANNE BOYLE %Ownership:100.0000000000% Total Value: $203,873 Tax Area: 0010-PA 121 PORT ST CNTY H2 L WMP Levy Code Description Levy Rate ,Appraised Value f Taxable Value Estimated Tax STATE SC STATE 2.3523324994 $203,873 $203,873 $479.58 - SCHOOL CC GENERAL CLALLAM 1.2567736569 $203,873 $203,873 $256.22 COUNTY GENERAL DEVDISIBLT DEVELOPMENT 0.0250000006 $203,873 $203,873 $5.10 DISABILITIES COUNTY LND ASSMT LAND 0.0012000000 $203,873 $203,873 $0.24 ASSESSMENT COUNTY TAX REFUND TAX REFUND 0.0000000000 $203,873 $203,873 $0.00 FUND COUNTY http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=62932 9/10/2012 Clallam County Assessor & Treasurer - Property Details - 62932 TIMOTHY AND ADRI... Page 2 of 3 .VET RELIEF VETERAN'S 0.0112499996 $203,873 $203,873 $2.29 - RELIEF COUNTY CAPT IMP CAPITAL 0.1807291674 $203,873 $203,873 $36.85 IMPROVEMENT PORT DISTRICT LIB LIBRARY 0.5000000000 $203,873 $203,873 $101.94 COUNTY LIB BD PORT 0.1842692429 $203,873 $203,873 $37.57 ANGELES CITY LIBRARY BOND PRT ANG PORT 2.5752211723 $203,873 $203,873 $525.02 ANGELES CITY GENERAL REFUND BD PORT 0.0772077833 $203,873 $203,873 $15.74 ANGELES CITY REFUNDING BOND SD 121 BD SD 121 BOND 0.4211676018 $203,873 $203,873 $85.86 SD 121 GEN SD 121 M&O 2.8788787613 $203,873 $203,873 $586.93 HOSP 2 GEN HOSPITAL DIST 0.5323634246 $203,873 $203,873 $108.53 #2 GENERAL ,WSMETPARK WILLIAM 0.1599036024 $203,873 $203,873 $32.60 SHORE MEMORIAL POOL MET PK DIST Total Tax Rate: 11.1562969125 Taxes w/Current Exemptions: $2,274.47 Taxes w/o Exemptions: $2,274.47 Improvement/Building Improvement#1: HOUSE State Code: 11 15600 sqR Value: $143.873 Exterior Wall: 2-Siding Fireplace 1 Story Single: 3-Average Foundation: 3-Concrete Perimeter Freestanding Woodstove: 3-Average HeatingtCooling: 2-Baseboard Electric Kitchen Quality: 2-Average Roof Covering: 7-Other Type Description Class CD Sub Class CD Year Built Area ATT GAR ATTACHED GARAGE 01 03+ 1978 4840 CONCRETE CONCRETE 01 03+ 15;8 6000 MA Main 01 03+ 1978 19600 PORCH-1 PORCH OPEN 01 04 1978 64.0 PORCH-3 PORCH DECK 01 03 1978 572.0 Sketch No sketches available for this property. Property Image S .4� 3° n aFri �� "'i++�++re'aataa M.v�i'uN.0 u'rw ca. Wa".G.:✓ v.+n.wNM1/xe6sw'4a.B-Fw'�—M-'xn _.... ....._._.-_..... .......... _. _. __.. ...._...... _........ .._...._..._..... .... _ _... ...... ......... .-..... ........... ... . Land -# _Type Description Acres Sgft +Eff Front -Eff Depth :Market Value .Prod.Value 1 1113 1113 0.0000 0.00 0.00 0.00 $60,000 $0 http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=62932 9/10/2012 CERTI FIC 4TE -- FCIJPANCY Citylof Port Angeles - Buiiclin"g,®iv,ision Y This certificate is issued, scant to the requirements=f Section111-ofth 009 International Building Code certifying that at�the tiro of issuance this structure was in compliance with the various ordinances of the City regulating"building construction or usefor the follo iw g'''am... Business name: € lFresh:.Wok . Business address 1603 E Front St.re t " Business owner., Hon Voang , Business owners address ,i 182 Draper,Valle y Rd Port"A geles,�WA,98362 Automatic fire sprinkler-system: N/A�----•----•--�-- --- Use & occupancy classification: Business Occupant load: �"Fer�20. 12 IBC, Table 1.004:1..1 Type of construction. °` VBtr� Y " " 10/28/2013 Sue Roberds, Pla in anager Date Post on the premises in a conspicuous place This-certificate-shall-no�moved except by the Building Official. f y�� G� CERTIFICATE OF OCCUPANCY APPLICATION Permit# FEES CITY OF PORT ANGELES Attn: Permit Technician $50 Certificate /Inspection 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? ❑ Moving location from within P.A.? ❑ Zoning BUSINESS NAME Business address t3 Nr t5i— Mailing address /* n . ZE Phone number K`7p Opening date Ah _Days & hours of operation 11 _ q Business owner's name` e W �z c q &6' Contact phone_3�,o, 6.3 D -- 3 9 Y7 Business owner's address I j3 2. D r -e d V l - o Db- AjL6.e(@ S 'vvh- a 62 Brief description of business Property owner's name D a_rkl- )h 64t Contact phone- 14 S — a Property owner's address/contact -1 ! I F i—ra rn� i-3©r'-t /+dL�j `'r W)4. 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 N 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: FIRE DEPARTMENT phone 417-4653 Fire approval by on CO-1C-- la-- Changes to a fire sprinkler system or fire alarm system? Yes ❑ No'X Work planned: PBIA (Parking Business Improvement Area -Downtown) phone 417-4623 T Square footage of business? fid Is business moving within the PBIA? Yes ❑ No CITY CLERK phone 417-4634 City cl Second-hand dealer/pawnbroker business?Yes ❑ No 2� Will there be dancing at this business? Yes ❑ No 's 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 �v ` 7 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: J .�Y(7c6 iicle, PLEASE NOTE: NO flashing, intermittent,or chasing signs are permitted in the City of Port Angeles. PWE approval by on. 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: PUBLIC WORKS WASTEWATER phone 417-4845 PWWapprovalby 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 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. 1 acknowledge that I have read this application and state that the information 1 have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. Da --Print Name IV�VO)' 6 Signature T1Forms\Building DivisionTertificate of Occupancy Application(2010).doc Page 2 of 2 �ON.rA:4. CERTIFICATE OF OCCUPANCY APPLICATION Permit# /,;t . CITY OF PORT ANGELES' FEES $50 Certificate/ ct'vn'�.: Attn: Permit Technician r� 321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Busine ve n a� ) + (360)417-4815 fax (360)417-4711 fee charged f cnt ocpt' 0 12PLEASE PRINT IN INK CITY OF PORT A G LES Check one: New business in P.A.?❑ Change of ownership only? Moving:location from within P. D, t. ty t BUSINESS NAME �.� Business address_- . , D j -r— i" Mailing address_ to c - Phone number_ f, `7C. –6-4 S Opening date Ah l Days & hours of operation_ 1 _q Business owner's name Contact phone -70"7 D ; �/1/7 Business owner's address 1 �..`L. 1� 't'- h�� V J4-If--y � L. �0,r j ti6,, V„h c9 Brief description of business ' e2ts ri(7,' Property owner's name it r.- 1 4 Contact phone 14S � d 4 Property owner's address/contact `1 l - 't=rt) ;It 7 iz a t--ty+/LC)y,5, BUILDING DEPARTMENT phone 41.74815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes 'S 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.- FIRE lanned:FIRE DEPARTMENT phone 417-4653 Fire approval by on to t T-1 IL Changes to a fire sprinkler system or fire alarm system? Yes No'X Work planned: PBIA (Parking Business Improvement Area -Downtown) phone 4174623 Square footage of business? PBIA notified on Is business moving within the PBIA? Yes D No% CITY CLERK phone. 417-46:34 City Clerk approval by on Second-hand dealer/pawnbroker business? Yes D No Will there be dancing at.this business? Yes :1 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 -.k y CERTIFICATE OF OCCUPANCY APPLICATION Permit# FEES CITY OF PORT ANGELES ._ Attn: Permit Technician $50 Certificate /Inspection 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? ❑ Moving location from within P.A.? ❑ Zoning BUSINESS NAME Business address 8 FwzNl— !�r Mailing address 6—;- Phone number `70 -'�'4 .5 Opening date �Days & hours of operation_ / q Business owner's name J—, a/V /YC' Contact phone Q� E7 l7 -- 3 9`(7 Business owner's address 1 -7-3 2— `rvi-t Brief description of business Q#IiU-54 Property owner's name D a rr(—L )h 6,1 t Contact phone a Property owner's address/contact `� / ,_. �i=1�'n s,-� i�o`—fi /+41S 1,v1-1 Z 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 I 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: FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes ❑ No'X Work planned: PBIA (Parking Business Improvement Area -Downtown) phone 4174623 Square footage of business? 1,�`OC, PBIA notified on Is business moving within the PBIA? Yes ❑ No CITY CLERK phone 4174634 City approval b Clerk a y on 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 rte; COMMUNITY& ECONOMIC DEVELOPMENT phone 4174750 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: j PLEASE NOTE: NO flashing, intermittent,or chasing signs are permitted in the City of Port Angeles. PWE approval by on 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 i 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 ❑ No 0 If yes, what will be discharged.- Cali ischarged: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. l Dat ��' � — �.Print Name � I � `Vv " `-/ Signature V T:Toorms\Building Division\Certificate of Occupancy Application(2010).doc Page 2 of 2 1601 r l,• ,1 )F C I ' 1603 r 1605 l 1607 1611 ° 1617 1807 a , NEW n