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HomeMy WebLinkAbout124 W 1st St Ste A - Building - , '. I""' I IU-"''''' :-,. /I J (2 , .JL...U ING SLIP ----r-:r e(LSlU~S OU\CA OeA-iono.\ _ \ ':I~I J <:'lc..' "" Certl Icat of Occupancy \' $47,00 (ertif ate/Inspection Fee DATE {'{)Cv-\ ,~16: '() ~ ...... Address of Propose~ B~~ness I S \ IJ)'-IA U )P,:<,UIIS-r +, Applicant <.ShCl \J..Y\ '" ('') ~ Addre~s \~q ~ <'\c~~ L~- Rd tb--1::: A_g k~ IDr-\. <'j~3103 , Phone: business home .!:!S::Ho I L,O Brief description of proposed business: legal Description: lot Current Use of Property: 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-ot-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.............. . G;lt- ,~h"'D I Block / #321 fOD"'." <,Q~"... i:;~~<"';. ,. ..'h,",.-r ..- ~_. ~ - ''t'';"cw<ft'''~ New Business """""""""""""" f"><') Transfer of Business location, , , , ' , , , , , , , , , " ( ) Change of Ownership, , , , , , , , , , , , , , , , , , , , " ( ) New Building '" , , , , , , , , , , , , , , , , , , , , , , , , " ( ) Remodel, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , " ( ) Temporary Business , , , , , , , , , , , , , , , , , , , , , " ( ) Change of Use, , , , , , , , , , , , , , ' , , , , , , , , , , , " ( ) Subdivision YES NO THE FOllOWING Will BE REQUIRED: - g PERMITS BUSINESS LICENSE - 1) Building 1) Taxi - -"I.......- 2) Plumbing 2) Peddlers _L- 3) Electrical 3) 2nd Hand Dealer - - 4) Mechanical 4) Pawn Broker - L 5) Sewer 5) Dance - ~ 6) Sidewalk installation 6) Hotel - Motel - ~ 7) Driveway installation 7) Fireworks - --'K....- 8) Curb installation 8) Ambulance - ~ 9) Sidewalk obstruction 9) Tattoo shop - ~ 10) Water meter installation 10) Other - :L.- 11) Fire - L- 12) Occupancy - - 13) Sign - - 14) Shoreline t - 15) Home occupation \ - 16) Conditional use - 17) 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, "lr7!~"mD Building Section Public Works Department Planning Department Fire Department City Clerk !?;Jt Date~ Signed'. ;-1t~~ Comments / Conditions '0 N N " 'Ci \0 > .s~~ ~ b2 ~ ~ .:; 0\ 0\ ('f") o ~, ~ ]~-g-a-~,. ~.' ~ Z "".J.:;~OU ~r-- < 4:!'o~" '" ",~,...., ". ".9 .::2 '';:: N\ ~ ~ _ -< -....:;: ~ ~ OJ Q) 0-.11'.(" ~ ~"'3 -g g c: ;::) ,I' ~ ~ ~ ,,'" ~ <t: I' ~ ~ : ,if ~ J! 1:: 0/] I: ~ ,~ (j' 6 ~ ~ & <J ~" 1:;'<;>,,:::: <l) -0 ...'" W' ;u ", ~_ ,--0 1-; _ "^-,N ~ 'Vi ,::; E ~ ~ E-< 0 \i;J ~.- 5. ',::: c -~ " .'. ~~ ~-s~~ ~ ~ 0.. !::..~ 'S <:; ~ '" z .@ W' ~ C _ ,_ ~ ~ ~ !. =-- I: :: ~ ~ " .~ c:: W'O:E g~~~~ ~ ~ fit- >. -3 t: .5 C ,c g:( A .....,.,.., ~ ~'~ 'C - ~'U"'- ",,'-"~ <; c; ,11I ~~~""'.9 ~ \J-r~ Z;~~~~ ~ ~ LL- \ .~ ~ -"S t.) ~ " ~ (.).~ 8 - \. '';:: ~l:U '0 L-,>\, ",~" r- .",,_ u_~_~ !.- a: 'Ut c:: W ul::""',>'" O '0'-" '- '> i::'; OS 'S S <; ~ " ,~ " ~ .. ~ .~ u " '0 ~ "' :i! ~ ~ 0 '" 0 0. " c " :g " " c 0 . '; :0 is 0 "' t ,3.. r City- Po rt Angeles B D visio This certificate is issued� rsuhe requirements• of Section 111 of the 2099 International Building certifying that at.the ti� •o ant f to t issuance this structure was in compliance with the various ordinances Code cert of the City regulating construction or use for the followi1,C4:',. r r x s. s 3 >x Business name: Clallam C nt ou y Democrat re: 4 Business address ti 1`24 West 1st Street Suite °�A F Property owner: Cat Thomas Harper Trus Property owner 'stadd ress 122 West 1S Stre et Port A nge le s, WA 98362 Automatic fire sprinkler .system Not ‘Requ ired Use occupancy classification: Busine Building permit number 12 551 3 Occupant load: Perr2009 IBC, Table 1004 1'1 T ry� 4 -!,r, k 5 °ve t 1 r•k.. c5'1F !t t r r� `Fi`' i Type of construction: V B* K* r m s h t o-k> :A .,.M3.sJ n.7d.a+.. Wsuu."s1. a L. tt7,:n t' ter, w e 7 -26 -12 u e Rob Plate tng Manag Date a r y a r J, Z; Jug"' ,,,,0- ^s Post on the premises in a conspicuous place Th ce rtificat s o- hall not be removed except by the Building Official. [n] 1 ar` f fy,. A 3�5 u t n 5 Q .v k7' i��''_. `-sa ,�7c t 'kt 1 "s n, 4, ry v t fik S i 1 h i �;.v 1� d }s }yri;{P d *:;1 a`' 7', t n •N 04... I 5 t w C 3 r 7 .i f i 3• yr s •x }..7r �5s r f fi, r o- ti O �..vi �`'f a ea a�4. '�.,u Est r 'sa t r 0 ,0R r4 c Permit# CERTIFICATE OF OCCUPANCYAPPLICATIO �Z 5S FEES CITY OF PORT ANGELES $50 Certificate Inspection R R 41I "y" At tn: Permit Technician ky $100 Parking Business Improvement Area (PBIA) E. Fifth St., Port Angeles, WA 98362 9 p ('.60) 417 -4815 fax (360) 417-4711 fee fee charged for Downtown locations MAY 7 2012 CITY OF PORT ANGELES PLEASE PRINT IN INK d (f000 607-15 I G ■q- in P.A. ?LChange of ownership only? Moving location from within P.A.? Zoning 66 D BUSINESS NAME C.IG.1Ic„nn. 6nu h I'` I/pW► r..+p Business address f 2A Prk4 F i0, r51'2 Mailing address j3 ox 21 51 Phone number 3(,U- 95 a o5a0 Opening date Ma I5 Days hours of operation w; I/ Business owner's name Cte,1( Ca�y1 bp,„„ cow .contact phone 36,0 452 ogo/b Business owner's address 1 30x 245 Avt1alef vUA 'i$ 362, Brief description of business 0 ,e y Ca w y Property owner's name L 1 e 4 t p (4 o r Contact phone 3 (00 5 0 2210 Property owner's address /contact 12 z W. s'r 5'P f 6 i A" e 2 C ll fh oYY\Gt5 BUILDING DEPARTMENT phone 417 -4815 Bldg approval byZV LL/ on GJ`q <o" Is the business a restaurant or bar that will seat 50 or more people? Yes No X 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: Isv e✓t ty I I re vole b �.i -L y r o �s w. i'o An at e- t4 Ina ca pp -�r e C tom(] 1 Y�-o e WIA"ten 1i'lis W ke FIRE DEPARTMENT phone 417 -4653 Fire approval by [4'1) on 1.2S- Or Changes to a fire sprinkler system or fire alarm system? Yes No Work planned: PBIA (Parking Business Improvement Area Downtown) phone 417 -4623 ``PP Square footage of business? 4 U PBIA notified v //��l� on GJ 8' d' Is business moving within the PBIA? Yes "No CITY CLERK phone 417 -4634 City Clerk approval b i 1� Second -hand dealer /pawnbroker business? Yes No X 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 COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by C_ on Jam' 1? Number of off street parking spaces available for employees and fbrKt n -kora V€ I1 7 customers? /VA (A parking plan may be required.) Signs? (wall- mounted, freestanding, projecting, awning, A- frame, etc Signs planned: PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval bA t7y s PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417 -4812 Is site work.planned (new or re- located sewer or water service, t\VADMoneints 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 Pwwapproval by NI/St 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 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. Date °5 Print Name t-R 5 &R IrR. Signature (1 .'r G1 64-'04 4 T: \Forms \Building Division \Certificate of Occupancy Application (2010).doc Page 2 of 2 M N I H 1 I 01 I 1 i 01 O 1 1 I N I N .0 d of 0 W p I 0 H 1 W a q H H F i 1 N H O N 0 W N F a N I n o 1a I I N W 1 I z 1 W H 1> O O W a I H W W N U F I o I a 0O I .a u) W V] 1 W 0 0 F W W W I a x x W F U I cna U 0 H x KC z F 1 7 I I y N N 1 7 1 0 M 1 u:, M 0 o W I I H O I V z d E. 1 W 1 F W v cn U U 1 m 1 z I a x O H W W 1 a 1 W 1 f( CO W Pa a 1 Z 1 I Z E. 41 cn0 1 E, a l Z 0 W H W 0 I H N1x H H I cn U 1 O O I W H H 1 W U 41 0 U I H I o o H O I H H I O H N W U 04 CI) IOW 0 W W I H F I U W W o 1 W a I W 01 U] a 1 U a 1 0> H W o W l W cn Vl I l- o 1 W ryow cn W W 1 a rox x o z 1 p (:»:4 I m+ 00 o 1 0n U u I H I 00..,- ZNI X I" i m :H1;: ,7y I N UU l0 N I O W a 01 j o, 1 1 H U G H I O ,7 a O 0 1 1 01 0 X u W 1 W I W U a W o 0 ao l m u a 0I E 0 o a a1 a w u a 0 zH Qo0aw r o au 110000 I a F U Heather Catuzo From: Roger Vess Sent: Tuesday, May 08, 2012 12:48 PM To: Heather Catuzo Subject: C of 0 12 -551 Engineering has no comments. Roger Vess Assistant Civil Engineer City of Port Angeles 360 417 -4812 cell 360 775 -8901 rvess@cityofpa.us 1 pokr CERTIFICw T OF OCCUPANCY APPLICATION Permit �2 5 S I LAC r f(F,!` FEES CIT'A PORT ANGELES E R Attn: Permit Technician $50 Certificate Inspection E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA) 60) 417 -4815 fax (360) 417 4711 fee charged for Downtown locations MAY 7 2012 0 150 CITY OF PORT ANGELES PLEASE PRINT IN INK �b a1620 )G1N° in P.A.? ZChange of ownership only? Moving location from within P.A.? Zoning C B C BUSINESS NAME 1116.11 A o u r\ De vn o c- 4 Business address 1 A FIR. ST trA r Mailing address 3 o z15j- 1 Phone number 5 (0o- 95 2. 0500 Opening date M i 5 Days hours of operation lJ v a.y Business owner's name Clc..l(G,A„ Cow• hovv, Cevtfirei G,o,�.Contact phone 36,o —'5Z 05 Business owner's address 130x 244 4 10 1, 5 tAJA y,5 3 6 Z Brief description of business U-)e e ;he, .t Cc., p 4 u e j Property owner's name- GA,f -L e .—;et P f -p o Contact phone 3 (40 5 o q 2210 Property owner's address /contact 2Z t.,U, s 'r 51'2E t T Pr/ .L) A 9 f3 3-42 2 BUILDING DEPARTMENT phone 417 -4815 Bldg approval byC L1/ on `q {e Is the business a restaurant or bar that will seat 50 or more people? Yes No X Construction changes planned (moving walls, adding /enlarging windows or doors, roofing, siding, foundation work, adding /altering stairways, ramps, bathrooms, electrical, heating /cooling /ventilation systems, etc). Work planned: IL a 1'v I I y v�y re -Mole' b �.1-L ra vw.— fo v o i4 Ir e.. „di Celp C rncGPS Nv p; J, e pP ov►. FIRE DEPARTMENT phone 417 -4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes No Work planned: PBIA "(Parking Business Improvement Area Downtown) phone 417 4623 aaon Square footage of business? 1 �4vu PBIA notified J'$ a I d Is business moving within the PBIA? Yes iVNo C /TY CLERK phone 417 4634 I (I/ City Clerk approval by (A' on I Second -hand dealer /pawnbroker business? Yes No E Will there be dancing at this business? Yes No L 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 f �'l N rya*l. r°*..x'' t1.` {m y` ja� r! r ig r�w N `o LS1 o f s ,:t,,,I, 'vq�Jj M'f a a y a4 a" .k y"' n ac L 4 r; f a r t T T w1x� r i f a wwww����.. s I w a icy 4 c Ma 1" Imo/ "`a/ i s,° ti fir. l 'I :1141:4'‘-''4'!:.,::',7;,%44,7' ORr a CERTIFICATE OF OCCUPANCY APPLICATION Permit# �Z... S I 010,7, FEES 'CITY OF PORT ANGELES $50 Certificate Inspection r Attn: Permit Technician E 1 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA) (f60) 417 -4815 fax (360) 417 4711 fee charged for Downtown locations 1 2012 CITY C7p PC7R7 :ANGELES PLEASE PRINT IN INK G ga in P.A. ?YChange of ownership only? !1] Moving location from within P.A.? iLi] Zoning CB D BUSINESS NAME C I G1 I c„M 6r>v nt v+1 o Business address l 2.9 A Fr 5 T2 e=-r Mailing address Box z151 Phone number 3 (c7(.3 15 a o50:co Opening date M., 15 Days hours of operation .A I Business owner's name CI,. l( Co��i 11w� ev1rwl Gr,,; Contact phone 3‘,0 --45a 05o 6 Business owner's address 13 2.464 s� Rlrf vvA 8 3 6 y Brief description of business (,Ter --c.+ i Cc. w,r 1ti, la r Property owner's name (AA) e r r 1 P (4tv o r Contact phone 3 (d 6 2210 Property owner's address /contact 1 21 5:►.R.E" �T rLif;: cp f' ')p3 36 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 11 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: iSkieA1 -I I y wV� re rio1. Io 4 f rovn. 4'o c r r� +na�G i4- inevo,Sice, fp c^C .4P�S NU Trvw'P 4,-a,.ti W(n r, vt Trlis L. harp FIRE DEPARTMENT phone 417 -4653 Fire approval by KO>. on 7 Z5•ZJI Changes to a fire sprinkler system or fire alarm system? Yes iJ No Work planned: PBIA (Parking Business improvement Area Downtown) phone 417 -4623 Square footage of business? 4 ikt PBIA notified on Is business moving within the PBIA? Yes SYNo CITY CLERK phone 417 -4634 City Clerk approval by on Second -hand dealer /pawnbroker business? Yes 1 No )‹ii 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 Use Classification: Group: M Owner of Business: Building Address; CE RTI FI Ckr'E"'OF-a,CC U PAN CY ~ll;~i~!i:~rk~isf:~ This CjrVi~~t{on:ifs~.e1IJ.urs~uant to the require,":f".nts ofSection~09 of the Unifor"JlBr'ie~niM;:,01f!)cfr.tiflmg;tlJ:fJ!JI !~~ Y,",fo!i;,f~'!'lf},f~~ thIs st~ucture was In co,mpft':J;';f;;'W-I(t} the\v{Jnp!'~':'~!f!,c:nf5s;,?~.th'!-"c9!.Y:r:_~9..~J,f!,~!fl? BUIldmg I j. ";;~,::~\l:t<\,>constructtO.n,:or,!!se.:. f:/!~.t!':fQllo~'c,!g: .."7;.~,.:~; \ Retail ?!3i1tl~i~g~p~.~t No.: ~..' '.~:, .o-B.usioe~No/n;;J '.".~Tre'asuie~s cand:Beyontl \ '~.,~;() . ~ ..::,,'.\::,'>.};,,:t':~,.'.,}r;-:;::,'~ ~ .' ,."Type.~f,Construc"on: ..y,N- "'.:; ;', ':-'~' ;!J"e;ZoD:,:>~',CBD , ~" "~-~L'-';,~~; , ; '-',~,::,i,:/'A~:~'~ ~>~~~,. ~~~. ',~,,':'t ~:f1~: '<":':, ,) I Shauna'GentrY~ Add,ess 193 Siui.ahagen.Road.. Port An~eles, W A 98362 124 we~\ist~t&eet..Suite A ,...., .,', "'~"-port;jji~I'ls.k A, 98362 " ~~, /. . ,Vi".\;' er 7 2003 Shall \1.>-"0. I S I -- . e- ~ 6 and ROUTING SLIP \ yeo...sL-U S eA.J .-\~Certificate of Occupancy 10.$47.00 Certificate/Inspection Fee ... '.'., - DATE IYl Cu-I ~ '6, \) ~ Address of Propose9 B~ness I S I J!)L/A IA )"_:,>UI,S-r + Applicant SbC\\b..Y\"'- ('''J~ Addreys \~q?-; .')o_h.olk<;y IA. RJ. tb,t A_g le.s IDr-\- q~3103 . Phone: business home Lfs.;;/-Io I (,,0 Brief description of proposed business: legal Description: lot Current Use of Property: 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 ... .r, . . . . . . . . . . . . . . . "i. 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................ . G;'r+ ,~hoD I Block YES NO -~ _ -"L- -~ _ .::L.- =L -~ -~ _ -X..- _JL -~ -L -L- r= ~- 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. "717'/o('''''D b-IIr06 -5/\ kDj) 10- 13-0:3- W 01< Building Section Public Works Department Planning Department Fire Department City Clerk ~~.~ -,ij. 52 I New Business ............................ Transfer of Business location. . . . . . . . . . . . . . . . Change of Ownership. . . . . . . . . . . . . . . . . . . . . New Building ............................ Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ....................... Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . 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) 01her 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: JE: Signed' / ~ Comments / Conditions / ~ .0Rr..... lO~<><,,,,, ~:~ L...~ ~ ~'",wO""~ r:><') ( ) ( ) ( ) ( ) ( ) ( )