Loading...
HomeMy WebLinkAbout104 N Laurel St Ste 112 - Building Use Classification: CERTI FIC:A~:e~~Q:f~0C~CU P ANCY ",f:"'''' .".4 ~'t,;"1;'P'~, , p.. '.._" ',> '~~, ~ 'j!,f!i7" 'l.t~'ry'~'{A~-n,.;:~~ --A':n~~ID(;!"';;"'" "'" ~ ~ ""3~~;ft~~ ~ ..~ J>"~(:" . ~,~f-., ~>:;l~;;:,,-;,,,,,"v>,t.~!/'f;~;?~ ~4~ l.f' BuIldln_)j)}~ISIO~}L~~;<,:,- 't, ~ ..." ,.;7 '<-,t; ':::;~ "'J~"'" ~" ,1< ~ ~/ ''''0---'''- "-i........ \If $, This Clll~fi1/fil(Qrrisf-.ll/j?4pursuant to the requirements of Sectidii,l 09 of the ",,",' /,",,"~"',''''Z>;;,'';\<'\<~jJ'~''.o/<W" /;,."~..> ~........._ \\ Unifo,.",,;B'/~?lJi!!g::fJ,e;i:l,~~c~tt,ift!,!:g t1j4tJ!,t, the tj'!'re,sof;li~s~a,!:~e this si[fcture was in c&lnpli(liicc'~it,h~iheWariQi!s~o1:dinaiices of.th~'eifj,; regfUating lJuilding V h", ~ ,X"f;!onst t. :::'.0; '(-s~:'5Fo~th(/l9ilowin~-':";"'~~":,w ~ Cou&sJii-';; -\'~ngpermi v---; ,-.;;..-' aestJPacific uest t) , it k k- ~ D ~ ~ ~ ~ Deboralit (t" ,ontalvo s f'fW A 98363 ~~~ \~~~~j }~ i/i \9- ~~::~~it:t ^)7"'^~/;~r~:';~~l.~~e.w;;::r;~;",<. ./' If 104 North IDlutel:t!St.~::-.;:$..L~':'~":::,;'::J;~RQfftArrg:eles. W A 98362 1'( /1 et 3 2002 ",:t'Date ~'ir "i ' /', DbtlS place'. y~Suilding Official., ,': ): Group: B Owner of Busmess: BUlldmg Address: ,," ''w~ Post on '~t ' , "..,;~,-'-- i Shall not be rem: t\~ \~ " - ... '. ROUTING SLIP ()&<-~icate of Occupancy '\ ~rtificate/lnspection Fee DATE 1~?i) 620o~ Address\ipropJsed BU~lnes~\ ~ _~ OL\ n<<>.l LlUJl~ '5t,' ~iL \ \2- Applicant 'Q.CL-V) O\/;Lh cle- VV\Iln~ \) n Address ~ \ VVl c..q ftf' \J\ €... \2.d. P'r _ ..A-'\I\ 'lot.A e.-S \ A>.A 9 ~ 3 (p '3 Phone: business 4bo-T1&tf home q2-g-337,-/ Brief description of proposed business: legal Description: lot 20 Current Use of Property: Zoning Classification of Property: Block eEb 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 - ---X-- - --X- -~ --X- -~ -~ _-.L --X- --A- -~ -~ ~- ==~ 'I-' == =*=~ 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. tmD REJECTED BUilding Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. 9 -/-ul /~ j&)P 1-3I~Dl~&J New Business ............................ Transfer of BUSiness location. . . . . . . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . . . . . . . New Building ............. . . . . . . . . . . . . . . . Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary BUSiness . . . . . . . . . . . . . . . . . . . . . . . Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Subdivision x) ) ) ) ) ) ) THE FOllOWING Will BE REQUIRED: PERMITS BUSINESS LICENSE ~ 1) BUilding 1) TaXI 0\ 2) Plumbing 2) Peddlers ..J: 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker ~ 5) Sewer 5) Dance 6) Sidewalk Installation 6) Hotel - Motel 0- 7) Driveway Installation 7) Fireworks [ 8) Curb Installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter Installation 10) Other 11) Fire (b 12) Occupancy c-- 13) Sign 14) Shoreline #- 15) Home occupation 16) Conditional use 17) Other ~ Date: ~ =: Signed: I ~ ~J(7) Comments / Conditions ~lc~e ~ O~upan~ ~~cate/Inspe~ion Fee DATE ~ ~ ~ ~C~ New Business ............................ Addre~Pro~ed Bu;ines~ Tr~er of Business Location ................ ~0~ n~.[ ~ ~,' ~ ~ Change of Ownership ...................... Applicant ~~ ~ ~m~tJ ~ N~ Building ............................. Addre~ ~ ~C~C~ ~ Remodel ................................. ~. ~{~ J~ ~ ~ ~ Tempora~ Business ....................... Brief description of pro.ed busine~: ~ ~ ~ J ~~~ J ~~ L~al Description: Lot ~ Block /~' Subdivision ~ Cuffent Use of Prope~: Zoning Close,cation of Prope~: ~ ~ THERE BE A~ OF THE RO~WlNG? YES NO THE FO~OWING WILL BE REQUIRED: C~ion ch~s ........................... ~ PERMI~ BUSINESS LICENSE El~fl~ch~g~ .............................. ~ 1) Building 1) T~i Me~anical (h~ti~. ~oling, ~v~) .............. 2) Plumbing 2) Peddlem ~umblag c~g~ ............................. ~ 3) Ele~ 3) ~d Hand ~ter N~ Or miD.ed signs .......................... ~ 4) Mechanical 4) Pa~ Broker N~ s~ic ~nks ................................ 5) ~wer 5) Dan~ N~ se~r se~ce .............................. ~ 6) Sidewalk in~llation 6) Hotel - Motel Admi~ion ~ged ~ ~trons ............ ~ ........ ~. ~ 7) Ddv~ in~llafion , ~ Rre~s ~s ~is a h~e occupation? ...................... ~ 8) Curb i~tJon 8) Ambu~ce Ex~vatlon ~ filling ~ I~ ....................... ~ 9) Sidewalk o~m~ion 9) Ta~oo shop Wo~ d~e in C~ ~g~t-~y ............... ~ 10) W~ter meter i~l~tion 10) O~er Is there s~cient ~-~e~ parking? ............... ~ ~/ 11) Fire: ~w dHv~y ~ings., ........................ ~ 12) Occupan~ A grading plan ~r site drainage ................... ~ 13) Sign (p~ing I~. do~spouts, ~c.) .................. 14) Shor~ine Am the e~ng ~ree~ paved? ................... ~ ~ 15) Home occu~tion Are ~em e~ng side~l~? ..................... ~ ~ 16) Con~ionaJ use Is there curb and g~er? ........................ ~ 17) ~her ~her .......................................... I hereby apply for a Certificate cf Occupancy and acknowl- edge that l have read this application and state that the Date: information I have supplied is correct to the best of myd:~-----~ knowledge, Signe . APPROVED REJECTED Comments / Conditions Building Section Public Works Department Planning Department Firs Department City Clerk