Loading...
HomeMy WebLinkAbout540 W 8th St - Building ~ \,>ORT ""N I:!O~~(\"' a~~ '- """"-'" ~ 't.fi;-;;-;;i<P CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Applicat~on pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Appl~cation type description Subd~vision Name Property Use Property Zoning . . . Appl~cation valuat~on 06-00001259 Date 11/30/06 230329 540 W 8TH ST 06-30-00-0-2-6338-0000- JOHNSTON LAND SURVEYING Owner Contractor Lasered CEO ~ , -- ~ SIGNS COMMERCIAL NEIGHBORHOOD 976 BRIAN R/KARLA I DILLS 125 GLACIER LN PORT ANGELES WA 983638534 JACKSON'S SIGNS & GRAPHICS 472 MOUNT PLEASENT RD PORT ANGELES WA 98362 (360) 457-3703 Permit . . . . . Additional desc . Permit p~n number Perm~t Fee Issue Date Expirat~on Date SIGN 91074 47.00 11/30/06 5/29/07 Plan Check Fee Valuation .00 976 Qty Unit Charge Per 1.00 47.0000 PER S- SIGN LES THAN 25 SF Extension 47.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Perm~t Fee Total 47.00 47.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 47.00 47.00 .00 .00 ~ k \P~ ~i: ~c 0;: ~ . (' ~ >, O? ~ 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 as 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 compiled 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. Signature of Contractor or AuthOrized Agent Date T \PohCles\J 102_ J 5 bUlJdmg permit mspectlOn record05 wpd [1/4/2005] BUll,DING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROViDE A MINIMUM 24 HOUR NOTiCE IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LaC A TION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDA TION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS,) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLOG) SHOWER PAN FINAL DATE ACCEPTED BY MEDICAL GAS LINE AIR SEAL WALLS CEILING Ji'RAM1NG JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (rNTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING &. HOLD DOWNS SKIRTING PLANNING I>EPT, SEPARATE PERMIT#'s SEPA PARKINGILlCHTING ESA LANDSCAPING SHORELINE' FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL. LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W.I PWI /J CONSTRUCTION. R W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 /1// FIRE DEFT PLANNING DEPT 417-4750 I / 17 A PLANNING DEPT BUILDING 417-4815 IhYJln'7! . .r/// BUILDING T \po!Jcles\1 102_15 bUlldmg pennlt mspectlon record05 wpd [~/4/2(j05] '1/ / PREPARED 1/17/07, 8-55 13 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY 540 W 8TH ST JOHNSTON LAND SURVEYING JACKSON'S SIGNS & GRAPHICS BRIAN R/KARLA I DILLS 06-30-00-0-2-6338-0000- 06-00001259 SIGNS PERMIT: SIGN 00 SIGN REQUESTED INSP TYP/SQ COMPLETED RESULT BL99 01 1/17/07 " ..., ~ SUBDIV- PHONE (360) 457-3703 PHONE DESCRIPTION RESULTS/COMMENTS BUILDING FINAL 01/16/2007 02 23 PM PBARTHOL RENEE 452-0237 SIGN FINAL PAGE DATE 13 1/17/07 -------------------------------------- COMMENTS AND NOTES -------------------------------------- Cedar Burl 30" x 36" - - 7.5 sq. Ft. Double sided , . :, . " "- J - ~?l ~,,~ ,. ,~ , ".':, ,,' -~ t "" ~ ': ~: J.I' \,. ,,,- !,;~ . ? , " " 4>' ~ <l ';, < <iL . f' > .~ '1:r , ..-". ; '>""", ,......;.- '" t > , _~L ~~ :.. -~~ ." . ~ t.:' ..," . ~ \. '"""",,, i ,,~'; . " ", ~: --..~.~.' ,; il:' f'/ ~'" ~'.",~i-,. '~~~r;',^ ".<::;:~" <; : ~;, ::;.~.,"v:.: ',;e\ "> ';.:"':;;~/,\:'> allY ~. "', ,>~ 1UlIt V(Qw31Julg. . '':: ." :_~, :':~?;':~ . "'~'. :~:,~ ,::~~~~",:,' ,', :',' < > <~dt< " ~,?," ~~' ,9' ," ", " "/ c ,"" ....o~ 1"-" 1_" "', . " "'."" . ), '. '. J",",> ,- ~ ~ ,- ,- ,,' , . . " '''" , " J~N~ S/"~~ tk1~10? 96" 72" . . !~k 17\1; ! t 96" Concrete \ \~ I ~ f^'l.~ ~\~ Jf)~$"1"O'" ~1' S-\J1W~'4 ~40 CJj. 1("'(11 JMLS'aJ~ S"l~~' tK7; ~7o~ ,~ . S/S Eye bolt S/S bolt with washer and nut jD+-tfJS13H ~ 5C1~,v1 6'40 (J). y-y,., Top brace - Metal strap Sign ... J~SDN~ S\t;a.6' 4-0... ?7"-; + V ~, ~~:: ~.~ >" T ,~"~ <-0 ........~., "- 1", . '_: .y >, " _, _ I' "r ~x~ Amiicafit;~;~:{:'.JbhnstOtLLandSurv.eyi.hg,:",~,' :,' ",~~:",'_~:;>._ ~452':(J32~'-:,~~' :",;~ ' ," ~.,v",,~~';':' Ro'b,"J' 'o'-~hn"'t::::.to-n'-~ ";- _. '"'-,'''~:''-''' - 'c"', :',' :"" ';';' ,':J.1;';,,,L "",:, , 452' -03'2'7 ,,"-"," , ....~Zl~ '., , ~;;;",J, > u "~,/...._"<"~i", J,~ _-< -~ . .,. ~",' ~ ~:;- "". ~. '~+\-" ~ \'~~~~e~ ,,,'...i~!^ A ~ ~(,,' ~'-~~' " ^~.,- ~ '~~~~'~:'::::~9~yvZ}>ths:r '_',:';:::,:,','~iiiJq~~;;An,~l~!e~'" ,,"(;L;~j:-,_' 98$6f,' ",,~:\ " ,,~~~~,~: )' ,', ,:',: .', ,,'; '":,~:::::':L,,,- ,_" ': /'-~~~;~,:": ,~~, ~_: - '" ,::' '~'" ,5~;'; - -, ::') ,:~.: Jacks'6ri~~,:~i~n~~ :, "s.:ti~~~i.j~:~~s~~~'i:',:~~}.}-,28:~,9:t"~~QQ~~.~?~3~P3,':, , ~~:'472MOUt1,t. 'Pleasarrt.':~0;, '~i~: "f?C?.t:~1(:6,n,~~J~,6_:~:~:,.;;,:,)~',~(~::;,,- 9~Q6'2>.-,,","'; "',P,.~~~~.:~',:" ,_ ",:54():w.)',~tJi"J?t; '::,',::~'~:''2'~~.' .'.._~.,.-, .~:?~6::.~.~. ~J;~L~':~:~'~'7:~~: : "tiEQkt1tiB&_O}l:~".< :Bt~~~:,'" :~'!.,;~{ :"~~~~.:,_, ~..:.." :.':"'. ".' ' .'. ~~.~;~:'~,',~..,-:~?~,:c-j~,.",_ '~'~:::'-:~,",<,,:u; ',;. ,"- <"~"\"d:"':':" :<- -~,,'~ ~~~ """< :'>;^~H'-':~'''>:'~r ~:i~";~<~~-~~:'~~:,~;1:~~:;~~' "'_~~ . u - ~ , ~ -,", ~t'~""-l-_ -.".~~'"' "" --. , >.... ""., ~ ,..-....... ., ,",I, < :: ' >, ;, --:-;- .' , .' ,"'C -, ,. " ~ , -:,'> :"-: - - -" ~' ,. , ':~<;: 'l~"'-- y - -< '. , '~~'~ '" "" '-- ~ '. ' r v" , ,- _ ,7-....>- ',''ttl?Bt)FiWoR.K:''-'-< .,," '" h. ,SI1lt~&tl1ijj0N:' ,:,: ,~:',,;~<'" - . ~ ',~~;,.~:li.ill;::" :'-'.;.... :N'.....;,,~.....:,:,'f"I>...'..b:O.=~' . ' ....'~~.""<'., .:, "'-"<<'~S' fi'f .~...,,:, '-';;m, ''=''$-' ." ~,: ,&.;I ~ JJ.I < 1;1W~U.. "'~.I; ,..... ;:gW.G '''.''..,.. -':,,, ~~<'~...'~..- ~i"'~1!P:"- ,<-...~, ~"'!J;;~r..+,"'...:;<; ,- ,~~ '.~ iJ;Miijtf'f;;~~i'itr~~dn-"'::'i:i'M~'~' 's':u~ '"'" "8)--':"'~' -jsit:~'f" , '" .,,, :p :~.~gl~~~[~:.~-:A:(b~B::~~': ~c~;~=: ,,: .. ::,:' ~;: :tT6~k,~i~~:~~f~> ,:~~~ :~~': ~:::'::~:~~;j<< ,'0 ~11:.","" ,.ift-iif~ ~'""""........,,~" '" ,,' -- -- -- . , " ", "'"," "I' '. ,- " ,,- ~,<> '-', , " -- ',','--,' " B~RiU~?J:!ON{u,llt\rD.D~ ~ ,e :~ __,~\.,,: ~,"'c", ' ", ~~ ~"\>?',' - ''''J.'''<:~>~';:~;;U'+'~~~,''V\'''<';;{,~,--_":_~,,4'::~''1:;' + "-\\~ - ,; ''':>, 'r" "'i "--'lrl--'~2'''''''ia' B~ . I .."" - 30" "36""' '7'5'" "~""'E--"" ''''"h,~' ," . -, . ~Ci, ~--'''.' ....,'); ~~a;t :51. e.!<. ur":Sl:D"":'~::c~: ..;~(~~~:;)~~f;;'i~;~; " ~ .~:~~i;c:~~.."c~~:" c', ..~~:.:::j.;:<~~;."; .'. ~,1:;::};!?~;~' ,", .::;~!tt!~:Ki~t,;./'?~~~' - :" ':",~;, :; ~ ~:"::';':.;:t~~,~ ":,.' "":':',.':, ';,..,~,,:'-_ " --:' :'.'::"" .."~:",' '" ' ." " -, ,P "~v~J!I~t; ~,- .." .- v ,-,' ,,),",~,?"=,:"'~"\,',-"~,~;~->", /;::,":; " ,__-,,_, d.. '"'Ur'_'" ,""~d- , ~ _' .,," \ '!,\>~~ 'r::,~'" ,~' "-.:'~~'~':~1'~'~\- :~~r\"~,~"" _ ~:~;"~'~-":';2 ":~(,.,'\ "~'\:'~~'(!-~)',"':~~-~-::1-_ :, ,: ,,"," ~ _~:..,~, :~,: ' -\ "-, .~^". "':~,::~'~ "~,: .,'- ~ ~ : ': ~ A~ .>/"~ ~""_.r,~,.,,,,, ",; .', "\~ ~:. _':" ~,~.( ~ ~ 'Ld ,-:';:~ _[~ "!',t ~ " ,]:_~~::,~,,\'''~,=l,~ :::{\i~:~~'::'.Iti~;;./;;>'\. :~'::~' ::', ".'~~}:'~';'~ ":;~;~,'>/'\~p ~~~,:,~y~~t~:.. ',:", ,'", "c , ' , ~~).,.",Y~ ."", ".~-,A;~~,p ,~" ,'.' 'M,3~~,-~ ~~ ;,:}........ ,_\~" -,.- " ~ , l - '~~, .:.:-",':.... ::./, .'~I~ _ >~~1:.\~ ,<'~.,~ < '-' ~~" ' " '; ,,' o,<"~;C~21l~Y:"","~':'~'~:':-~\i"",,,"~'h '1&" "~'''~':~,\,,: , ";~, CE RTIFI'CATE:;<O':FOCCtJ P ANCY .,;$tl' ,.'. , I"" ,-,~ "H" ~, '-\~ ,,' ~ Ci!tY of i)'art Angeles,'- ;Building "Oi,vlsian This certificate is issued AJt~~a~ito the requzrements of Section 11 0 of~~;e ~~03~{frnatlOnal Building Code certifjdng that at the tzmeJoj.1ssucifi'c^'tt'tHii:Str1:tCtur.e was In complianceMith the vanSus ordznances of the Czty ft:;' ., '~-,,," .'4j'''t';~, ^"~"~~;"r \.Y, <",~, ',.- ,) , ~~ regulating building cOllstructior(o,rAseforJf;e following:~,' ; ,," :. ',~, :';' ~ " {;., "" ."'''', ",1 , '<" ' , " ~ rf~6'hri:~t~~Iand g~~~~'ing'" ~ , I,: '40' "w ~18"th S' l\ I,; 5, ~ ",;' :'I,.:A, t. 'I ~: ROb,i.tohnston \ ,,>,< ".. 1 lii<:t c 1("''' 'r ''>: "l'< l '-'l ^ '" ~ Owner's address: '\~.1 1'3S. 'Valley St., Port:Arlgeles; ,WA I,; Use & occupancy clal*i!ication Business,',':\ :.:~ 'I " '. l! . . . ~{~, \', ,'",; "c\\~'~ \" J,iJf Buzldzng permIt number.." \. 06-1166 :,': ' . }'~1 Type 0+ construction'( ,q""'.'''''''V'1'f'(Jf,:,t0:';;;' .~: ,l 'J ~~r Business name Business address, Owner of business: 12/01106 Date ,,~ " <"""1'#';~'1~~:~ ~r Post on the premises in a conspicuous plac~\'Phi,~;tS%f!!J~.!.~.~.tl,all"rl7'ot "be removed except by the Building Official. PREPARED 12/01/06, 9 32.23 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR. JAMES L LIERLY PAGE DATE 3 12/01/06 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 540 W 8TH ST ROB JOHNSTON SUBDIV BRIAN R/KARLA I DILLS 06-30-00-0-2-6338-0000- 06-00001166 CO- CHANGE OF OCCP/USE PHONE PHONE PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ~;;;-~~--~--~-~~-- ---~~~i~i~~~~/~~~~~~~:-~~i~~~;~~g~:~--::~::~::---::~~~-::-::-:~-- \1 RENEE 452-0237 11/30/2006 03.38 PM DYASUMUR --------------------------- 12/01/2006 09 20 AM DYASUMUR --------------------------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- J O.F:TN"STON" End surveying September 28, 2006 City of Port Angeles Building Department ATTN: Jim Lierly 321 East 5th Street Port Angeles, WA 98362 Subject: Section 3409.3, 20031BC I am contemplating moving my office to 540 West 8th Street. The house was built in 1930 and is currently zoned Commercial-Neighborhood. Within 12 months of purchasing the property, I will have completed the requirements of Chapter 3409.3, IBC (2003). This is in addition to complying with PAMC 14.40.120, Subsection C. Sincerely, frl,~5<{~ Rob Johnston, PLS EXPIRES 06/02/07 . 113 S. Valley Street, Port Angeles, WA . 360.452.0237 . 360.452.0238 fax. www.johnstonlandsurveying com , -;" it,' , ,,!f),. " :. Ii ' I 1 :! ~ ,. .~,I f, ,I'V'"I Ii I,.... I' ' t.... /'" i1~! P"J I {./'~:. - ! I t~ ,.:; ROUTING SLIP ~ CJ~.... <~ Certificate of Occupancy , , L.~ =- $50.00 Certificate/Inspection Fee ~ ""vlJLICWO~'2> . DATE ~fleB/O~ New Business. . . . . . .... . ..... ., , . . ( ) t' I X Ad,dress of frort~r.q Bu~~s Transfer of Business Location . . . . . . . . . . . . . . . ( ) .54 0 \~.,I ( :'= :) I Change of Ownership . . ... . .... . . . . ....... ( ) Applicant f/~c 1 ' ,<-,,-:.- J New BUilding ( ) f ,~C.i r"~ C-../!'P i' " ,;;; Ii '.."Jr .... . . . . ..... .... ........... Address " f; ':;} ~~>~ if ,/,I C ' I' u! ,,' .~-, Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) /,' 1i,;P f ( ( (fl~; .. \.... / <~ i Temporary Business. . , , . , . . ..... . ..... . . . ( ) Phone: /' (? ~ 0 'i'~" ~"r;]-' ~~;J <r'i I! Change of Use . . . . . . . . . . . . . . . . . . . . . . ( ) business '~. ;;) (L., '0' i';-'.j) # home )\ ~ ..::" 1. ,'j ~n " , (F :J~'""l, .". l'_';:/-;.} O~'l'v),/~} L '- ,,:4 ,,'.J 0 "'tp. " ' .,\" f.,(~ ,'/~ Bnef descnptlon of proposed bUSiness: !/'~ k I{ l:f";' ",.j th'C. \ A',,; , f" t. ~-- /It:} );.~ f ~; f"" ~ Legal Descnption: Lot Block SubdivIsion ' i,:' r:.. f ,t , . ()l~t:..::., ~ I~ tl'-1.-: Current Use of Property: R" 1-' . '1\"-' ,~~" J! A (,' , G:.3-1 rl_.:k. (-' , If !.(,( ~~-. ,~~ ; Zoning Classification of Property: (~:./ l-1'\l Will THERE BE ANY OF THE FOllOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes A BUSINESS LICENSE - - PERMITS Electrical changes j 1) BUilding 1) TaXI - ~ ",. Mechanical (heating, cooling, stoves) ;/ 2) Plumbing 2) Peddlers - - Plumbing changes o;!. 3) Electrical 3) 2nd Hand Dealer .. . -- New or relocated signs . ,,' .' 4) Mechanical 4) Pawn Broker -- New septic tanks ~: 5) Sewer 5) Dance -- New sewer service ,:^f 6) Sidewalk Installation 6) Hotel - Motel - - AdmiSSion charged to patrons .} 7) Driveway Installation 7) Fireworks - - Is thiS a home occupation? ; 8) Curb Installation 8) Ambulance -- Excavation of filling of lots ." 9) Sidewalk obstruction 9) Tattoo shop -- Work done In City right-of-way -- 10) Water meter Installation 10) Other Is there suffiCient off-street parking? -, 11 ) Fire .... . , -- New driveway openings , .. . -- 12) Occupancy A grading plan for site drainage " 13) Sign -- (parking lots, downspouts, etc) " 14) Shoreline -- Are the eXisting streets paved? - - 15) Home occupation Are there eXisting sidewalks? '; 16) Conditional use - - ," - Is there curb and gutter? - - 17) Other Other - - I I I hereby apply for a Certificate of Occupancy and acknowl- hlZg r/! tf4' ! l,lt , edge that I have read thiS application and state that the Date: ...l Ii _1-?....'.ftiJ l...>',,;r !1/.$A7 .~tI 1/ ,,' information I have supplied is correct to the best of my /1' ,..// ,\ j/ /1 \l""" f. .<--")1"",)' _. -,' knowledge Signed: ~ '. /' -\F'" :".'~ J <"::c"</{ Jt; t1J./\~ ~~I ! ~ /,'~,..J r ,/ APPROVED REJECTED Comments / condition~~ ~.... /1/1 i'l '<LJ'l.- / Building Section A-<L.J ~ ~ ;, \/\0\./\ .J(L.J., 0 Public Works Department lltl'-, 401 , ~.aj I A 1 /, .fr77 \..LJt I Jo I~ Planning Department eM 100 ~^ ",--f - 'l : Y"oo.il f/ (J Fire Department City Clerk P.B.I.A. Sep 21 06 12:51p Loan Star Port Angeles 3604522810 9/21/2006 City of Port Angeles Building Department Attn: Jim In regards to the property at 540 W. 8th St., this property has been used as a residence since January of2005. I purchased the property in the Spring of 2003 and shortly there after began conducting office business as well as using it for storage of parts and equipment. Prior to buying this property it had also been used as type of marketing office. If you have any questions please feel free to contact me at 477-0955. Thank you. Candida Paulsen p. 1 ~t ~ ..t: ~ t ~ .,. oS" eN \..1011N~olJ LtrNo SU/Z.VeYI ~~ tJb-llhb ROUTING SLIP Certificate of Occupancy $50.00 Certificate/Inspection Fee DATE 9/"l. 8/ob I , Address of Pro~o~ Business 540 ,J tJ - ST Applicant f(oB JOI.J.A>S'/bN Address 1/3 S ~ Lr kLU?l ~-r Phone: business 4 ~ Z ,oz 3 "7 home $'0'2. .13 U New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . Transfer of Business location. ............. Change of Ownership ....... .... New BUilding .................... . . . . . . Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business. . . . . . . . . . . . . . . . . . . . . Change of Use ................... ....... /..AN /J SUJe\J€'1ING Brief description of proposed bUSiness: P~PE"'5SI o,vA-L legal DeSCription' lot /0 Block 2-" 3 Current Use of Property: 1?135/ D~;Jrl A-L- Zoning Classification of Property: C Ai WILL THERE BE ANY OF THE FOLLOWING? YES NO Construction changes -~ Electrical changes . . ~ Mechanical (heating, cooling, stoves) -~ -)( Plumbing changes .... . -- New or relocated signs )l -- New septic tanks .. . )L -- New sewer service )l -- AdmiSSion charged to patrons ~ -- Is thiS a home occupation? )t -- Excavation of filling of lots \if. . . -- 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? \( Is there curb and gutter? ;r- -- Other . . ..... . -- I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read thiS application and state that the information I have supplied is correct to the best of my knowledge. 7:;;1; #REJECTED BUilding Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. ~ ~\) I()-&Y...o~ 1tt6\ Subdivision 'rp~ 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 occupatron 16) Conditional use 17) Other 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: r./2$/o~ P' /' ~ IJ:...}' & 1 lAI /IV"~/.::>'Y-J · V Signed: Comments / Conditions \,90RT -tl\l ~ (;~ O~;'C.lli.{~t , ~] 1L """-'" - =- - ~ ~/jl.IC'HO'i'-'f..<;' 0' 0- ( ) ( X ) ( ) ( ) ( ) ( ) ( ) U\ ~ C> ~ ~ ~ ~ I~ 3 S\ --- ~ QQ I ;:j , ~ ~ ~ ~ ()