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Home My WebLink About105 E 8th St - BuildingCITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00001442 Date 11/13/08 Application pin number 986198 Property Address 105 E 8TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 3145 2001 Tenant nbr name DOC NEELEY S COWBOY GUNS Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc Sign 4 6 over R/W RUP #08 44A Owner HEADRICK CAMILLE 915 GLENBROOK CIR PORT ANGELES Fee summary T \Policies \1102 15 [10/08] WA 983626736 Contractor OWNER Permit RIGHT OF WAY Additional desc RUP #08 44A, $70 00 ANNUAL Permit pin number 137901 Permit Fee 70 00 Plan Check Fee 00 Issue Date 11/13/08 Valuation 0 Expiration Date 5/12/09 Qty Unit Charge Per Extension BASE FEE 70 00 Special Notes and Comments Condition of permit payment of Right of Way Use fee on an annual basis Fee will be per PAMC 3 70 110 Charged Paid Credited Due Permit Fee Total 70 00 70 00 00 00 Plan Check Total 00 00 00 00 Grand Total 70 00 70 00 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 fora 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 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 te e ature of Contractor or Authc?ized Agent Date ature of Owner (if oAer is builder) Date 1 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T \Policies \1102 15 [10/08] RESIDENTIAL ENGINEERING 417 -4831 FIRE 417 -4653 1 1 PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES 1 NO 1 COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION R.W PW/ CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING 1 I I r— CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 08 00001305 Date 11/13/08 Application pin number 774285 Property Address 105 E 8TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 3145 2001 Tenant nbr name DOC NEELEY S COWBOY GUNS Application type description SIGNS Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 704 Application desc 8 SQ FT 2 SIDED PROJECTING SIGN Owner Contractor CAMILLE HEADRICK O 915 GLENBROOK CIR �aC- l<So11b Si 3n9 GY-aftliCS PORT ANGELES WA 983626736 u J 1 (360) 457 1232 I P lee.“ -rtF Permit SIGN Additional desc 8 SF PROJECTING SIGN Permit pin number 136267 Permit Fee 47 00 Plan Check Fee 00 Issue Date 11/13/08 Valuation 704 Expiration Date 5/12/09 Qty Unit Charge Per Extension 1 00 47 0000 PER S SIGN LESS THAN 25 SF 47 00 Special Notes and Comments November 6 2008 5 00 45 PM sroberds The sign location has been changed to be above the existing awning but not above the roof The sign location will still require a right of way permit approval from Public Works due to its location over the right of way Sign shall not project further than 4 6 from building facade RUP #08 44A Fee summary Charged Paid Credited Due Permit Fee Total 47 00 47 00 00 00 Plan Check Total 00 00 00 00 Grand Total 47 00 47 00 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. Date Print Name 1 gnature of Contractor or Authorized Agent T:FormsBuilding Division/Building Permit ature of Owner (if o wner is l(uilder) 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 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 Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T Forms /Building Division /Building Permit 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 POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Accepted By 1 Comments FINAL Date Accepted by IFINAL Date Accepted by PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By NAME OF APPLICANT al MAILING ADDRESS 1C=, g 5 PHONE NUMBER 4 52 2kle 7 STREET ADDRESS OF PROPOSED STREET USE DESCRIPTION OF REQUEST (include drawings required for clarity). [If street closure is requested please state the name of the street and limits of closure together with the duration of closure Z4'' _4_$_" tijkble sides slIe ABnv� �h 1 v _to v r (Tni 11- ob -+r 1 IS THE USE EMPORA OR PERMANENT? this form use la t of Wav Permit application form) HOW LONG WILL THE OBSTRUCTION BE IN PLACE? Dm/ per WHAT ARE THE HOURS OF OPERATION? A/ HOW IT WILL BE LIGHTED? EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET SIDEWALK OR PLANTING STRIP ARE THERE ALTE NATE AREAS THAT COULD B USED'? ADM tiARLIS 3) 7D &TM. HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles Municipal Code, and in consideration of the issuance by the City of Port Angeles of a Right Of Way Use Permit to the undersigned allowing the placement of the above described street use or obstruction, the undersigned for himself and for his successors in interest, hereby agrees to indemnify hold harmless, and defend the City of Port Angeles against any claims or lawsuits for personal injury or property damage arising out of or in any way connected with, the placement of the use or obstruction on the City street, sidewalk, planting strip or r ght way ��11111 DATED this 'J day of r 20DX N r q 9 0' EXP ,�Sea CP ..4I 024 .2012 70 A :LIG s d at My commission expires. -2 y/� i it (This permit, if approved, may be terminated by the City of Port Angeles without cause and at any time) I/1IIIIN QQ [OFFICE USE ONLY] Date application received �n"' t Fee paid 7D i� Receipt Date Certificate of Insurance per PAMC 11 12.140(B) received Agreement to Remove Encroachment signed and on N/A and recorded on N/A Application re nd recommendation by City Engineer .y is to,-er approve and with the following conditions .�1 e5 /S Application .•proved fl T� '1 ;�2 RIGHT OF WAY USE PERMIT APPLICATION by the Director of Public Wok Approved copies to Applicant 0 Fire 0 Police 0 Street 0 Other N:\Urban Services Standards \Ch1 \2008 ROW Use Permit.doc, Marsh 10 2008 DATE 11.-07-40A 105 5 T (if answer is PERMANENT, do not use reAi Applicant NOTARY P I fa Vl1ashington residing ice Q Reu,br+i1'HelA. 4 wu5e Date Date I 'if 3l O O Address file 0 RUP# _03-4474-- PAY igg O' PORT/44, u RKS AN NAME OF APPLICANThvC- O MAILING ADDRESS l v� IS THE USE Tf ORARY R PERMANENT? this form use"Rt hr av Permit application form) HOW LONG WILL THE OBSTRUCTION BE IN PLACE? WHAT ARE THE HOURS OF OPERATION? /A HOW IT WILL BE LIGHTED? iPs og c. 4.1 8. 1 t U ur,i Ay-0 DATE L U 1L c,- OF RIGHT OF VVAY USE PERMIT APPLICATION PHONE NUMBER 2iL0' �`U c STREET ADDRESS OF PROPOSED STREET USE DESCRIPTION OF REQUEST (include drawings required for clarity) [If street closure is requested please state the name of the street and limits of closure together with the duration of closure SIGN 15.4 r (z 1 q CE I) t f J Lc., C F r G fv l 61 t Cyr G cciu EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET SIDEWALK OR PLANTING STRIP ARE THERE ALTERNATE AREAS THAT COULD 3 LcA-ttcd-,1 o.E HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles Municipal Code, and in consideration of the issuance by the City of Port Angeles of a Right Of Way Use Permit to the undersigned allowing the placement of the above described street use or obstruction the undersigned for himself and for his successors in interest, hereby agrees to indemnify hold harmless, and defend the City of Port Angeles against any claims or lawsuits for personal injury or property damage arising out of or in any way connected with the placement of the use or obstruction on the City street, sidewalk, planting strip or right f way DAT this ,20 C Applicant C vrt3 oy G(/i.l a NOTARY PU��rshington residing at My commission expires if approved, may be terminated by the City of Port Angeles without cause and ai any time [OFFICE USE ONLY] Date application received IO-401) Fee paid Date Certificate of Insurance per PAMC 11 12 140(B) received Agreement to Remove Encroachment signed and on and recorded on Applic reviewed and recommendation by City Engineer 5 is t env with the following conditions Application approved or denied by the Director of Public Works Approved copies Li_ :ant 0 dire 0 Police Street 0 tJ:■Urban Services Js1Chi. 'r R ae Permit.doc March J 7 Address Ile 0 N/A N/A (if answer is PERMANENT, do not use Receipt n eX }e; Pvtorg. 4'l ,Ge,,+il_LwScxi44 teethe av cat 14.38, o,o 444t«D Date M Sec Pot! AttiAxlt'S Date Ft I.' F 4 Ds-- 4 1 JD /b) b, I?i Nam pp covnby pW X Ca tIle Win de- CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent ZS 'R6GERS D UCN ,s Cuvig(,y(.Zc.(k_c_ PF Al Owner p z4 -(EAD( jc ANo 66AR_Ph Property Owner's Address q 1 S c Contractor /Engineer Contractor /Engineer's Address 40 /9 f Expires Doc. 6u4 Ge 6 A(e._ O(.,3006o 23f4S2_0v'1 Lot License Project Address Business Name Parcel Number Submit an 8 "x 11 "site plan three sets of plans that include. Type of sign (wall- mounted projecting freestanding illuminated other Placement and sq ft. area How the sign will be securely attached (Engineering specs may be required for freestanding signs) Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code" of the City of Port Angeles Municipal Code for sign re' Q)401-4 \kl Sian Type Brief Description. (Type, location, sq. ft.) Sign #1, Sign #2 12/be. 5"/w al) '440 se. IF Sign #3 Sign #4 756e Rt 4h4 of o De rrn app (a e44, "or 'fie 1 Totals (Unit charaes Unit Charae Quantity multiplied by quantities) $47 00 x $85 00 x $115 00 x Existing sign(s) area Building facade area (height X width) sq ft. Maximum allowed sign area 2o0 sq. ft. I have read and completed this 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 Date C —10 °cif Print Name I Signatures --Y n T Forms /Building Division /Sign Permit Application.doc SIGN PERMIT APPLICATION Print in Ink 7 GRAND TOTAL sq. ft. Proposed sign(s) are _Type of Sign For City Use Only (Date Received 16 —10 -OS Permit #_ryg. ,5 Date Approved ei 30 UVO ne 451-113)- ne 3 Ste- 3�9 Zoning Sign(s) Valuation 7dY' 4v All signs less than 25 sq ft. Wall or marquees, over 25 sq ft. Freestanding and projecting, over 25 sq ft. Li27-2 2 Lt> Make Checks Payable to City of Port Angeles Credit Cards (Except American Express) are accepted sq. ft. Total sign(s) area FL. sq. ft. 4 2A" "x48" Double Sided 3/4" MOO plywood Doc Nee ley's Guns 105 East Eighth Street, Fort Angeles WA 54" Jackson's Signs, Dort Angeles, WA 457 -3703 Bolted thru wall with washers and nuts RECEIVED NOV 0 '6 2008 c4 1 arS CITY OF PORT ANGELES �p BUILDING DIVISION d9' 60% FILE CITY OF PORT ANGELES Constneccion Plano The Issuance of this permit based upon these plans, specifi- cations and other data shall not correction eenthe building official d from thereafter requiring of errors re sai g par specifications and other d data, to from om ep when in building operations being ca ti violation of all codes and ordinances of this Q Approval Date Pal deP x48" Double Sided 3/4" MDO plywood Doe Neeley's Guns 105 East Eighth Street, Fort Angeles WA Top view cket to wall both sides Jackson's Signs, fort Angeles, WA 457 -3703 54 Doc Neely's Sign 13racket 1 will prime and paint and drill holes in bracket Tabs 1/4" thick metal P t 4t •.:44 A14 fr 4 4' 0" 9.5" 48 45' ey[vIt,guts he Staitilem Red Alirig r rt.; t4 t■tott.- dr 4. a ,-1 tt •••,;"'-it f „0 ,14 -tr ...t 4 9 Yw- 4. 4. 0 11 u els 1 ati tA,91.1011.141:41,11 I I I , .~. Laserf;:rj CED Thls certificate lS lSSUrq,c Code certifyzng that cl( xf! i?r of the City regulating 07-31-07 Date Post on the premises in a conspicuous place. a e shall not be removed except by the Building Official. Doc Nee\e )s c,c>vJbo Gun5 QY'\a Geo...r e.s R~~ 0- t- 07 owner~ 1" 01- Co1tf ROUTING SLIP Certificate of Occupancy $50.00 Certificate/Inspection Fee Laserec! CEO DATE Address of Proposed Business \C5 E.~HST Appllcant])Oc.Ik~U;'115 C6vJ$~"'f 6:L1.J.( AriD G~ Address 1-;7-0 W II W\ St Pit- Phone: business ~~'2. 'ZS("()~ home -9' '7....02.5 0 New Business. . . . . . . . . . . . . . . . . . . . .. ..... Transfer of Business Location . . . . . . . . . . . . . . . Change of Ownership . 0 . . . . . . . 0 . . . . . 0 0 . . 0 . New Building . 0 . . . . . . . . . . . . . . . . . . . . . . . . . . Remodel . . . . 0 . . . . . . . Temporary Business. . . . . . . . . . . . . . . . . . . . . . . Change of Use . . . . . . . . . . . . . . . . . . . . 0 . . . 0 . ( ) e>c='" ) ( ) ( ) ( ) ( ) ( ) Bnef description of proposed business: <5 lItJS, ArJ'Tt GJll~ / J-I"f\S ,i SHU(jT,~ f\GESI"~{e.s. Legal Descnption: lot Current Use of Property: C' 5" Zoning Classification of Property: _ _.u WILL THERE BE ANY OF THE FOLLOWING? Construction changes Electncal 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 nght-of-way Is there sufficient off-street parking? New dnveway 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. . Block Subdivision YES NO THE FOllOWING Will BE REQUIRED: "" PERMITS BUSINESS LICENSE -- "" 1) BUilding 1) TaxI -- _V 2) Plumbing 2) Peddlers \/ 3) Electncal 3) 2nd Hand Dealer - l7" v" 4) Mechanical 4) Pawn Broker -~ -- 5) Sewer 5) Dance v 6) Sidewalk Installation 6) Hotel - Motel -- """ 7) Dnveway Installation 7) Fireworks -- _V 8) Curb Installation 8) Ambulance V 9) Sidewalk obstruction 9) Tattoo shop -- V 10) Water meter Installation 10) Other -- V 11) Fire -- V 12) Occupancy -- V 13) Sign -- -- 14) Shoreline -----1.L- - 15) Home occupation V 16) Conditional use ----0 - -- 17) Other -- 10 - 1- 07 I hereby apply for a Certificate of Occupancy afld acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my kno Signe Comments / Conditions BUilding Section Public Works Department ~ of- Censfn.,cHoh: Planning Department o CLv r a..vvt L-06..el: ~ U 0-7)-01 Fire Department City Clerk P.B.I.A. o -J \ c:y --1 -+ o VI f1\ 00 -}: ~ '3 Eo, .- ~ (J ~ et'S D 0 ...n I ('l \ :3 \ \'\ ~j < ) ~}oc hQc. \-e.I~\'), e(~~~jb(}~1 C;vr~-; ,=\\ \(.\ G\~ o..r owner: :S~'Aes \(05m 0- 1- D1 ~~92;~l}~~:::i~ 0'1-- fro?' Y: , "I) ~ , ROUTING SLIP Certificate of Occupancy "$50.00 Certificate/Inspection Fee Laserpr CEO ~ ... -~<'~ (J~~l,/l "-~ '=- ~ "'vaLle wo~'f..~ DATE Address of Proposed Business \ () c.) E. Q.,. . I ~,T ",,' I '-l - ApplicantVO< IJE ~lE'f .) ~ f,;'v\J};,,'1 "'tiN"': I\f'U 6J-;;:p;(t.... Address ~';l.n ~tJ \ ~ ~h S{\ {/{J; busmessLISl.?S(l,..\.:) home L)11~Gl~u Phone: New Busmess . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transfer of Business location . . . . . . . . . . . . . . . Change of Ownership ..................... New BUIlding . . . . . . . . . . . . . . . . . . . . . . . . . . Remodel . . . . . . . . . . . . . . . . . . . . . . . Temporary Business. . . . . . . . . . . . . . . Change of Use . . . . . . . . . . . . . . . . .. . ( ) ~ ( ) ( ) ( ) ( ) ( ) Brief description of proposed business. GltN,"':", AN-r'(~l,r:~~, H~-{.s, S!f\.l\.T,f'!~ P\Cz:~~i"".<IC_S. WILL THERE BE ANY OF THE FOLLOWING? Construction changes Electncal 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 nght-of-way Is there sufficient off-street parking? New dnveway 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 legal DeSCription: lot Current Use of Property. Zoning Classification of Property: Block I" ,.., ,,- 'I" '-d) YES NO >/ -- t..7' _v v -~ v - l..?" v." -- . b.r -- -----l.L- - V <\.../- -=--- !/? \.-"" \./ 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 ~/tJ~ BUilding Section Public Works Department (Pi:nmg Depart~ Fire Department City Clerk P.B.I.A. SubdiVIsion THE FOllOWING Will BE REQUIRED: \.P" PERMITS 1) Burldlng 2) Plumbing 3) Electncal 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Dnveway 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 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 t_ v to - I ~> DJ Date: / ~-, /') . : . ~r 1'l Slgnect _,J //-i~1/ /\ /rf '~.-/ '! t' - v' I , .-:.'.- ~ {",'*""'* ~...- ;:, =~ \I '))~ S, ~-~ ~) (; l~lr ;7> '-~ --, en :J""O ~o CJl - o ~ !:'; o ...., 00 00 ::. c: 0: 5. :5" ro OQ ~ :> ::0 0. " ~ v> ell c: ~ g ~':,."r~~~;-.~~i ............. o CJ VI ('tl trJ ., ~ e. ~ p.. 00 n ....... ~ :::r' ........ ........ CZl ('tl q ~ ('tl ('tl ....... :::::l sa. g =.f. Ii. C 0'" - g: ('I) :J S' ('I)lJQ (;1'> "'0 Q 3 ., ~, ('I) 0;" A~ 3 - ~ $('1) ~. ~ < I ~ ('I) w Z ! ('I) CJl ........ t ~:i' f d \~ tlJ~ ".f. S ,_ 0 ""d ,'0'" 0 " g, ,,<:::::l ~ in CJl'!1' ;., ~ c\"'2." ....,; ('tl ~ -.'0;, ~ ~ c: C,.,; ;,. (J) p.. _. o~... ~ ~ 0 :::::l c:;';~ ;l>. <;::E to CJl S::,,,,, >-- (J) ~ O "'0 0 ~ "<-, , \0 W N _:;. I""""t- ''\:;QO 0 ~ ,,, "' ~, (J.)t~ :l _..... ~~ 0\ "8':"~['!. on........ N 3 ..Joi.<..., -. ('I) N tlJ 0 - 0 ~ ('tl ~ ('tl (J) (J) ~ >-- \0 00 W 00 N a a c:: "? \OJ ..., ~ C1l o ...., n o ::l q c:: $l o' :l s;: C1l n rr ~. => n e o ::l n Z s CZl -.2. ~ ~ (') ;::~~ '-I ::t.. l":l"': '" 0'"' g ~ 0 m ~ '6 tb,,~... :::-: ::.2'. :;c 00 ~ ~B~ "c -I s. ~;;j'~, c: w OQ -. - ~. ~. 0 ~ "TI ;,0 l":l s...~.t:;. - ~.g~C\)~ n ~ i ; ~~ ~ Q ')> (s. (S. -. ~ 5. ~ -I :::: z;;::::: z;;: - Q o"'OQt::l Q..~m "': 0 ~ :::: .... 1:; ~ S' :::: = ~ '" ~ 5' ;;:: CfQ 0 \JI Ol":rj~::::ir ~""'I"TI ~. s; g ir"': _.::. ~. '" (\) < "" ' v> s.. 0:::-' '-t::l ~. = 0... v> C\) <"::;";:s::. ..II" z ~ _ (\)"': -. CJCl 3 0 ;::-'0 (\) C rD ~ ~ ::::::C\)<..::;.,;:s = _ '-I C ('") -. C\) rD f ~ ""d f ~ ~ ~ /r.lJF '- 1 ('tl:::: t::l C ~ ~ ~ :::: ~ ...... OQ l":l V:l ~ z;;:(\)(\) ..,., CJ) '--"""t.C') , \.I s:: t::l;::-. _ ,,-"' )> p;-" s. 1:;' ~~ \j OQ ~~~ ::1. .b:I ~ c :5. ~ ~ \0 ~ ~:;~ ... C\) _ oq ~ ;::-. t::l C\) '" CZl (") :::r' o o -- ... r ., '"";) .. \ 1>" r~~ ~ '^-~"U.o...... 'of. v\' "'" <t --- - -- ~<..~O<S l C( r ~ 0 ~J / , ROUTING SLIP Certificate of Occupancy ~ Certificate/Inspection Fee /~ ':2-6 _6 '-I DATE Address of Proegsecl.Busin~s~ ~ ~.. J 9 ,,~. I 0 S c:: cPT'l.t S 1 . 16., /'i 11~ ~ S; tJ,:... /0>-:::#2- Applicant 6~vc...1 d Ca...ll ~ I-" Address 3(~ /J,lt.l1C;f'J,t'e~ f.. f1e~Jows S€f~; l.c..-<., Wt- ? r)?~ Phone: businessS6S- (000 home";I'~L' ( ~"ORr -4.... <,o~o. <l,-.._<::. :"~ "- -=->r --- ~ ","" Woo'" New Business ............................ ( Transfer of Business location. . . . . . . . . . . . . . .. ( Change of Ownership . . . . . . . . . . . . . . . . . . . . .. ( X New Building ............................. ( Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( Temporary Business ....................... ( Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . .. ( Brief description of proposed business: -;;C& c..h, ~ '7 () J/ ,. V J "H r legal Description: lot ]),- , \ Current Use of Property: l"-r ~ 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 ot tilling ot lots ....................... Work done in City right-ot-way . . . . . . . . . . . . . . . . . . . . Is there sufficient off-street parking? . . . . . . . . . . . . . . . New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . . A grading plan tor site drainage. . . . . . . . . . . . . . . . . . . (parking lots, downspouts, etc.) .................. Are the existing streets paved? ................... Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . Is there curb and gutter? ........................ Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Block ~L.IV'\ l YES NO -li- ==2= -~ 1C =="L- -~ -~ -~ -~ _1- -~ -~ ~ ==X -~ -~ ==y 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 ~DY KOf) 1- L(P-OY Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. Subdivision 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 ~ Occupancy W Sign 14) Shoreline 15) Home occupation 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 1 0) Other --jtb-OY Date: . Signed: . ~tJ-~.. --- Comments / Conditions -~.. CERTIFI~,A~:fl~~UPANCY d;/~rty..ctf Port An'lel~s """ ,,' L/ Buildiq~visi~ '. This C~!;ift~;;tionissue~pursuant to the requirements of Sectio:"', 109 of the Unifonn;Bulldi~g Code ceriiJYihg-that at the time~fissuance this s'tructure was in cO),zdlian~ with fhe\l1arious"ordr;;mces~ihe GirY..r";gulqting Building . Ii. '~ .J' .,...... ~ ..... '"'<:iA-~ ,~~ .. t P I:'lf ":"constr~:tf use.o:iFor~he.tollowing: -,' Use Classification: Dri2eG~ !rai~i1 BuilJ~ g 'tNO~\ =-~. -........N_ pefnSUla Driving School Group: B 'Type of Construction: VN , Use Zone: CSD \ . Lu-"I. OwnerofBusinessIResidenci .at. ottlger Address:\122.Jamestown.BeaCh'~U,lijl. W A 98382 . ~ I L-- - ~ I t105~East.8~. Street.. -4?ort.Angeles...WA 98362 . . '/ etober 3. 2002 '/ Date . ~UOUS place. _~.y"Building Official. 15 VIV I -r c. - Pv. ..;~ r- I VQ~ ~" '"t.<! ROUTING SLIP Certificate of Occupancy ~ Certificate/Inspection Fee DATE () ~ Address of Proposed Business oS 6-, 8'"~ Applicant ~ ~- Address I::::> ~ :r-~~~ tsck. Lo--...cL.. -~~~~ Phone: business S-b S; -/ D () 0 home (0 g3 - qr-q I ~ to ., New Business ............................ Transfer of Business Location. . . . . . . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . . . . . . . New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ....................... Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . Brief description of proposed business: DV"~ \1 ,,~ S cl tI c I Legal Description: Lot N So Current Use of Property: Zoning Classification of Property: Block ~S.D 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........................................ . YES NO 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. ~D REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. kDO ~ ~(r 02 AI) 2b9 Subdivision T"P A 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 occupation 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: ~3~~~,~ \ - - Signed: Comments / Conditions ~'OAT -1~ <-o~G'tc" is'a-. <;. ~~~lP .... -=.:lI =- ~ "'"", ...... ) )( ) ) ) ) ) ) o \J) l1'1 ro +- ~ .... " ROUTING SLIP Certificate of Occupancy ~ Certificate/Inspection Fee ( DATE I , Cf~/O~' Address of Proposed.Business \ ,,,,"\ )- ~ I ('; r K' .:..~.: / ... I , \.. ,,! - I ..l...Jlt-' ~, \ Applicant r , \ I t..:..,il ,4.-." ., :"\ 1\ .... ~(-~ ' \~ \ L i.. Address ' " \ - Phone: business r-t C:;-I(t c home /. " .=; I:;' I' '" Brief description of proposed business: \. . \' . \; legal Description: lot N SOl, I Current Use of Property: Zoning Classification of Property: li ~Block C,Sj) 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES NO 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 '/2/0 J.. k/-f( I Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. , ~ New Business ............................ Transfer of Business location. . . . . . . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . . . . . . . New Building ............................. Remodel. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . .. . Temporary Business ........................... Change of Use . . . . . . . . . . . . . . . . . .. . .. . . . . . . . . c""' (~( ( 2b9 T;>A Subdivision 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 occupation 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. ~ , ( ( \ \'--.L, \.~ :-.",.t I A \ J ,,-' i \ \'" - - Signed: '( Certificate of Occupancy j ~ Certificate/Inspection Fee DATE 0 ~ ~~..., New Business ............................ _~..~4~' Transfer of Business Location ................ Address of Proposed,_~.~!ness ~ . ,~ Phone: tbusiness ,5~b5--I£'~-~: home (~-~ ~'~'i, Change of Use ............................ Brief description of proposed business: D~ ~: ~'"~i Legal Description: Lot Current Use of Property: Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes ............................ PERMITS BUSINESS LICENSE Electrical changes ............................... 1) Building 1) Taxi Mechanical (heating, cooling, stoves) ....... 2) Plumbing 2) Peddlers Plumbing changes ............................. 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 ............................. 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) Sidewaikobstruction 9) Tattooshop 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 Agrading 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) Conditiona~ use Is there curb and gutter? ........................ 17) Other Other ......................................... I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed:~,j~ ~""~ ..... D REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk CERTIFI¢ :CUPANCY This requirements of Section 109 of the this structure was ~ Building Use Classification: g School Group: B CSD Owner of Business/Residence: WA 98382 Building Address: i 98362 2002 Date Post place. Shall not be g Official. ..... CITY OF PORT ANGELES °~'*~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 8/29/2002 PERMIT NO: 13665 OWNER/APPLICANT PROPERTY LOCATION 105 8TH ST E CAMILLE HEADRICK Lot: 10 Port AngeLes, WA 98360 Block: 231 [] Long Legal 360/000-0000 Subdivision: TOWNSITE T: S: Parcel No: 063000023145000 CONTRACTOR ARCHITECT ADVERTISING SALES & MORE N/A 1327 E. 1ST ST Port Angeles, WA 98362 , 98360-0000 360/452-7785 360/000-0000 PROJECT INFO Project Value: $150.00 SFD Units: 0 Commercial: 0 Project Type: SIGN/WALL SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES INSTALL 21 SQ. FT. WALL MOUNTED SIGN RECEIPTing9615 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $30.00 TOTAL FEE: $30.00 Plumbing: $0.00 AMOUNT PAID: $30.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within '180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to/~jve authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construs Sy' /' S'g aj~re of Contr~ctor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FOK~vI$\] I02.]5 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE BATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGIqT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LFNE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'$ SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL BATE YES NO COMMERCIAL DATE ACCEPTEB YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIILE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ~}" ~0 'q~ ~'~ /"~ BUILDING T:\PLANNING\¥ORMS~1102.15 [4/2002] BUILDING PERMIT- APPLICATION { Date Issued: The Building Permit Application must be filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Architect/Engineer: LC . X Phone: °cC - Contractor ~x,~ r.'~ ~ *c~-.~ License #: 0.o ~,,~_6 Exp: Phone: Address: o.-a ~r-, ~_ e City:. Zip: CLALLAM COUNTY PARCEL NUMBER: (~:~ o o oo~T~ ~%c2' Credit Card Holder Name: Billing Address: City:. ~'~ ~ Credit Card #: Exp. Date: VISA MC TYPE OF WORK: SIZE/VALUATION: [] Residential [] New Constr. [] Re-roof [] Wood-stove ~-~ ( SF. ~ $_ /SF. =.$ [] Multi-family r~ Addition [] Move E~ Garage SF. ~ $. /SF. = $ [] Commercial [] Remodel [] Demolitinn [] Deck SF. ~ $. /SF. = $ [] Repair ~' Sign [] TOTAL VALUATION $ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: __ Construction Type:/--;------(~F~/ - No. of Stories: __ Lot Size: % Lot Coverage: % Existing Lot Coverage: /sq. fl. + Proposed Lot Coverage: /sq. fi. = TOTAL LOT COVERAGE: /sq. fl. PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by thc applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is duc at the time the building permit application and construction plans are submitted. All other permit fccs are duc at the time of permit issuance. EXPIRATION OF PLAN REVIEW: lfno permit is issued within 180 days of the date ofapplicatinn, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. 1 understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ~_.~L~ Date (~ '- ~' ~)?~- Time Received by (phone, person) Location of Work to be inspected /~--~ ~ ~ ~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbin~____~al_j~Sewer Excav. Other INSPECTION NOT~ES: Inspected: Date ,~' ~ ~ Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [~ Unimproved (~Gravel [~Asphalt [~PCC [~Other [] Repaired by City Work Order # ~lRepaired by Permittee [] COMPLETE [] No Damage Found [~ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) .s.c~o<s ROUTI G Certificate of c ~ Certificate/I ? .e. V' ~ vLS."'-.io...- )) \ 1 '\ V-Wv"h~ 1- '"2- b - e 1../ DATE Address of Pro~osedcBusin~ss PI . / 9 ' ,r/.- / (!).s c:: cPt I-t ~ 1 . fbd I'i 11'Jt::J e ~ tJ,:~ / (f ~2 Applicant G~I"G..I d Ca..../l ~ ~.., Address ~/~ D.~l17f'..t -e-' ~ He~Jow> S~u..1 ~, w"-- '7 f 3J-~ 2-. . . Phone: business5bS- {oOO homeb11,"?:>L" ( (l ')-'i 0 r) New Business ............................ Transfer of Business location. . . . . . . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . . . . . . . New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ....................... Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . Brief description of proposed business:-;;C:- ~t .~'\ 'T OJ/ I V , '- Vi 1- legal Description: lot ]).' \ Current Use of Property: IV"", ~ 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Block <c t.. rr. \ YES NO _L- ==2= -~ ,)( ==rc -~ _1- _1- _1- _1- _L- _1- )<, ==-X _1- _L- ==y 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 QJltj~ Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. Subdivision 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 (1?j, Occupancy 'r3) Sign 14) Shoreline 15) Home occupation 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 ~b-CY Date: -J . ;; Signed: ~6J..& el... --- Comments / Conditions ./" ~ "OA1 "I"" ~O~_C(l u~~((<.r' '<'.:-_ -=:::.:......J ~ ~ "1.,SLICWO""....<O x .--, ~ Vl f\\ ~ f .- ~ -, CJ) :::r""C tu 0 -CIJ - ::::1 o 0 -::::1~ C" - 5: (t) :::r s' ""'( (t) ~ 3~~ o (t).~ < 3 (t) -. a.~ (t) CJ) >< o ::s (t) "C Q) -0 C"o '< ::s OJ~ :. o' 0:= -. 0 ::::1 = co CIJ o"C;:~ ~pj'ro~ -. 0 -....J (') (t) tu ~ . 0 .j:>. ~ co s. 0:: 5. (JQ >- 0.. =t ~ o ~ ~ s, CO ;;; 5. ~ ;:a ~ 0: " :l n ~ Cl ~ ~ ~ " n [ ::> n a o. :l ....... o VI trJ $:I:) en ...... 00 ...... ::r' r./l q (l) (l) ...... C1 (l) "" $:I:) 0: n $:I:) ....... ....... (l) ::i >- 0.. =t ~ lea ~ " o ...., n o :l q C ~ o. ~ ~ S'~~ (0 .... '" Q21(j ~ t:;lj.~, -- ~ ~ is' ::-: S; 1;0 ;:::: l::l..n s. (0 -. ~ g: (1)~::t oQ ~. og ~ n S. t 0;;' ~ 0 ...... (1) '" ~. 1;; ;::;- n :;:: Z ...... (1) (1)(1) " ;::: ~ .....=:- ~::; ~ ~ 0' o' -. ;::; ;:::: :;:: ;::: :;:: o '" CJt/ ~ .... s:; S ~ :;:: l::l.. ~ ...... C,.o) -,.-", c ~ ;:::: ~ ...... ~ ...... ;::;- co ~;:::: ...... (1) ;;; 0 (0 ;::;- .... 5. "'I ~ (1) (1) ~ ~c ~. ~ z (1) ~ 21 !S. '" 'c>S(1) ~ ~ ::::: (1) ~ 21 .. 0 D 0;;' gj ~ ~.~. ~ 1;j ::i ~ ~;:::: ~ ....... OQ n V:l ::i :::: (1) (1) ~ ~;;.~ ,....... -............... $:I:) S. '" o. t:J CJt/~;::: ::1. b:l ~ ;:; $. ~ ~ \Q ::i 12-::; ~ .... (1) ...... oq ~ ~ >:l '" >-t:I o ~ ~ VJ ....... 00 t:J c ::i (l) ::i (l) en en r./l () ::r' o o ....... -< I Z n Z r./l () ::r' o o ....... (l) ....... (l) en ~ (l) $:I:) P- o ~ en :E ~ \.0 00 VJ' 0\ tv s;: " N o :l ~" CD Ef :E ~ \.0 00 VJ 00 tv r./l (l) o m :;t1 -I - " - nO co :::; )> C ~ -I -. -0 0.. ~ m _. ~~O ~ :4. -n :;;. > ~. == 0 -. (JCl o re 0 == [0 c: -c :t> z C1 -< Doc NQe\el\)S e - GUJf)$ 1iq)k~~- ..... OvJb04 - QY)d\ GetAr _h 01-- Coltt ROUtiNG SLIP Certificate. of Occupancy $50.00 Certificate/Inspection Fee 0- 1- \)7 DATE Address of Proposed Business \ (:) 5 €:. Q.,..-.-I S. T ApphcantJ>Oc.1J€-~u=\/) C~vJ$I.:."i G.VloJ{'AtJO Ge-A!1.._ Address . , ~ Phone: business Lt'i 1. LSfu\::) home --9' 1-o1.? 0 Laserec CEO New Business. . . . . . , , , . . . . . . . . . . . , . . . . . . . Transfer of Business location . . . . . . , , .. ... , Change of Ownership "" . . , . .. . . . . . . . . . New BUilding ......,... .........",..... Remodel . . . . . . ! . , . . . . . . '. . . . . . . . . . . . . ''- Temporary Business. . . . . . , , . . . . . . . . . . . . . . , I ~henge of Use . . . . .; . . . . . , . " ..........,. ,,'.' "\ ' ~ ,\,ORT "I,.,. ~o~G'<(~ (j~~~~ >L~ '=- ~ ""u6'LlCWO'r."f.-~ ( ) ~) ( ) ( ) ( ) ( ) ( ) Briefdescnptlonofproposedbuslness: G4N~, ArJTlGJllt~ " J-IA,,S, $HU~T,Js. p\(€SJ~~{eS. legal Descnptlon: lot Current Use of Property: Zoning Classification of Property: Block CC;'() WILL THERE BE ANY OF THE FOLLOWING? YES NO ~ -- ....... 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 ...~ V \/ -~ ~- V \ ~<\. - - v - - t.."" - -, - y V" - - V - - ,"-K - v - - - V"'. - - - - ----tL- - V ~~ - - - - "'~ I hereby apply for a Certificate of OCCuP~Ds,y)..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 4T), Building Section Public Works Department Planning ,Department ~epart~~e..(\ City Clerk P.B.I.A. \<<Y) . ,- --1. ..- <::: '" \ ;; d SubdiVision 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 occupation ~ ,-, 1'6) 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 .........~ C"t __ "'tl. --i......- .... -- ~ -' ..t ~ . -'-<> ! - I ~ 07 Date: . - (0 Signe~;j.A"" J?I---e..P ~ /J I' I' 5 ~d.mec;; ~ A Diet'S v Comments / Conditions '10"7 c..l...Os~ I LOC.::~~ t.3 0 () f.I.A$ , t WO\AI'S IOf\'" - Wl!.~ f~; \\-0 fa S L . -.. 'I c- q;r ~. . .. o::=~ I ) Jbvc.... ... r~.........~' ~ '0 I?. c-