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Home My WebLink About420 E 1st St 1st Floor - Building ) * ~ \ $ Q be removed except by the Boilding Official. (VI ~'\ \eJ 7/z-S/og -C tJ IT\ - 'If) --I- \P 1"' -' 'l'l 'I 11 ,- ~ "" \ '. '\~, mro 0 ~ ro ~ ro 0 ~ , , . ro ~ WW ~~ W ~ ~Q H ~ W " ro W 0 ~ ~ ~ 0 ~ ~ ~ W ~ G 0 Q 0 W ~ ~ . ~H W Q H " ~ '" 0 0 ~ 0 ~ " " . 0 W W OW" ~ 00 H ~ O~H " ~ WW .. " m C Q ZZ HG ~ W m wm ~ 00 o~~ I; W ~W roro ro ~ U~ m ~~ .. ~ ~ ~ 0 H~ W~~ Z H~ ~ N " ~ H~ Q Z ~ro~ W 0 ~ 0" . H ~ HO m Z .. <'lUl CH W C W~. " m uu m ~ ~~ , W ~ ww :::: .o:,o::rnr-- ro Z ~~ z~ z~o ,~ W mm ~ H Ol7J~ ~ ~ Zz u 00 r:..~NOZ ~ HH U HU Q <DHZO< 0 0 ~~ 10 H - rr.. 0 u U "m '.......1>:0.0: 0 " H~ :Ugj"'~O~~ 0 es 't.:J>Illr>1i:l.W~ oW ",mm :gog~o!;:~ oG ~~~ n ' III.. t"j:> u.o:: 0- ~ 13 , roU , ~~ 0 0 , ~ ro, U ~ ro 0 NO o~s ro ro ,u ~" ~~ .zm ro m H '0 OHW . ~~ ~roro " ,~ IQQ ro mw ~oo m H~ 00 W m , 0 ~~ -~ W 00 WW roW " ~~o ~~ oG OW U , , mw :-;~ N~ H~ro OW~ .m "00 OQ" 0 a~ ~~ WO ," " " "u 0 00" .W 8 " zo ~ Q ~ W" m -u H ~o WE--<-=: ..:lZ " a 0 tJ~~&ltj..J H m "~ a ~ ro W~ Q~5~~:t ~ ro "H ~f-<uoo...o:: ~ 0 "u " ~ u Print in ink CERT/FICA TE OF OCCUPANCY APPLlCA T/ON Permit # 0 c;s- -I, '=to CITY OF PORT ANGELES Alln: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 $50.00 $100.00 FEES Certificate / Inspection Parking Business Improvement Area (PBIA) fee charged for downtown locations , . BUSINESS NAME BUSINESS ADDRESS \5+ rloor ill- Phone # Zoning Business owner's name Business owner's home address lE: 'llil PLEASE NOTE: A Business License is also required for the following businesses: Taxi, Peddlers, Second-hand dealer, Pawn broker, Dance, Hotel~ Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at 417-4634 for additional information. ACTION ./ New business l/ Transfer of business location from a PBIA location Transfer of business location from a non-PBIA location Change of ownership Remodel Temporary business Change of use Will THERE BE ANY OF THE FOllOWING? NO"" YES"" IF YES, CONTACT Electrical channes -=-= Electrical Dept. at 417-4735 New or relocated SlOns -\ 'V Buildina Olvislon at 417-4815 Construction chanaes ~,_ .1_. " Mechanical chanaes (heatinn, coolina, stoves) . "'" " Plumbinn channes y " Fire snrinkler svstem channes '>d " Fire alarm svstem chanaes .>6 " Is this a home occuoation? '>J Plannina Division a1417-4750 Second~hand dealer or Dawn broker? 1>< Cilv Clerk al 417-4634 New or relocated sewer or water service to. Public Works at 417-4807 Excavation or fiIIinn of lots ... " Work done in the CitVi-ight-of-wav Iv " New drivewavooeninas ""- " Gradina site drainaae (oarkina lots, downsoouts, etc.) , " Landscane irrination svstem (backflow devices' Water Dent. at 417-4886 Off-street narkinn Existrna streetsoaved ilII 0/ Existina sidewalks -< Curb and utter ,> Call for Certificate of Occupancy inspections before openinq business: Building Departmenl Inspection 417-4815 & Fire Department Inspection 417-4653 Please provide a minimum 24-hour notice for inspections Please sign up for utility services at the cashier counter. I hereby apply for a Certificale of Occupancy I acknowledge thai I have read thIS appltcation and state Ihal Ihe i'f\maltOn I have supplied is correcl 10 the besl of my knowledge. \ I ) Date~ Print Name \/'A..1E:fUe. ~'::C~(" Signature V~ ~s.eJ~ For Cit use onl . Department Rejected Initials & date Comments / Conditions Building Type of construction Occupa nt Load Fire Automatic fire sprinkler system required no yes Planning ~I '0&51< (" 10'0& r3U ~-lo-o~RV i)t~tTF\L ~ss2.roM - ssror ":f-o~ q; \)~Y'-rs NON -c.omP~ ~ut5<;.o5 up 10 M~ek:?O\ N~~~ ,::tc..c.uyA~,tC\1' ~:C)N~_ PBIA City Clerk Public Works T:Forms/Building Division/Certificate of Occupancy Application 0" Print in ink CERTlFICA TE OF OCCUPANCY APPLlCA TlON Permit# 0 ~ -I, '10 CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St, Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 $50.00 $100.00 FEES Certificate I Inspection Parking Business Improvement Area (PBIA) fee charged for downtown locations r=~,-. I' ~ J-Z-~I-' s+ flOG r -t'(?J.!iL Phone # Zoning 5("O-tf~7.::- 'Yf()"iS Business owner's name Business owner's home address PLEASE NOTE: A Business License is also required for the following businesses: Taxi, Peddlers, Second-hand dealer, Pawn broker, Dance, Hotel- Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at 417-4634 for additional information. ACTION ./ New business V Transfer of business location from a PBIA location Transfer of business location from a non-PBIA location Change of ownership Remodel Temporary business Change of use Will THERE BE ANY OF THE FOllOWING? NO,;' YES,;' IF YES, CONTACT Electrical chanaes '^^^, .ho Electrical Oept. at 417-4735 New or relocated sians '\ 'V Buildino Division at417-4815 Construction chanaes ""^. .I^" " Mechanical chanaes (heatina, coolino, stoves) . 'l><::. " Plumbina chanqes X " Fire sprinkler system chanoes )1:1 " Fire alarm system chanQes )6 " Is this a home occupation? "'- P!anninq Division at 417.4750 Second-hand dealer or pawn broker? tx" City Clerk at 417-4634 New or relocated sewer or water service r>I Public Works at 417-4807 Excavation or fillina of lots ',( " Work done in the Citv riaht.of~way t><' " New drivewaY oDeninQs '>i.. " Gradina site drainaqe (parkinq Jots, downspouts, etc.) '" " Landscape irrigation system (backflow devices) ')l. Water Depl. at 417-4886 Off-street parkinq Existing streets paved '" 0./ Existing sidewalks ~ <><' Curb and autter " Call for Certificate of Occupancy inspections before openinq business: Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 Please provide a minimum 24-holJr notice for inspections Please sign up for utility services at the cashier counter. I hereby apply for a Certificate of Occupancy supplied is correct to the best of my Imowledge. Date~ Print Name \/'AItF:fUE. I acknowledge that I have read this application and state that the rT"mation I have , ' *-to~~( _ . Signature Vo...~ ~b.MS,'(/~ For City use only: Department Approved Rejected Comments I Conditions Initials & date Initials & date Building Type of construction Occupant Load Fire \'.OQ 7-2 'C8 I Automatic fire sprinkler system required no yes PBIA ~ :il(\)I~llA'L ~s.se.rotY\ - S6l1Jf '.f'o~ q; \.)Q0'TS . Planning " NON -CO;'l1.Pl.5F2P- ~utSr;-6S vp 10 l'VI""1eE:?O\ City Clerk / Public Works ( N~'Y \) cc..\J'f AN C-'1 If.l...A nN\:,-=; T:Forms/Building DivisionlCllr1ificRle of Occupancy Application --- 1 .--/ \."""'- ~E. ~~ a~ F02- 1\-r l~ - TZO