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HomeMy WebLinkAbout306 E 8th St - BuildingPost on the premises in a conspicuous place this c i.� 8th St Diane Markley- PO Box 2830 C E RTI FCC '►Te FOC� PA 111 CY City ofwPort Angeles �;�;Buildi`ngl l3 ,ision This certificate is ued p suant to the requiremen of Section 1 `141 of the 20009 International Building Code certiniing that athe.i`tim of isA anee this structure was in compliance with the various ordinances of the City gibuzldintcons ikttton:;or°usefor the following, Business name ZrSalorn V Business address: Property owner Y. Property owner s zadressa Automatic fire spranklersystem. Not=required Use occupancy classtfacation. Business, Building permit number 1 379 Occupant load. 9` "I' Type of construction. cngeles! 33 09/13/11 r' Date iticatetshallznot be removed except by the Building Official. C- O 1 PREPARED 9/06/11 8 44 02 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/06/11 ADDRESS 306 E 8TH ST SUBDIV TENANT NBR Z SALON CONTRACTOR PHONE OWNER DIANE MARKLEY PHONE (360) 460 5639 PARCEL 06 30 00 0 2 7038 0000 APPL NUMBER 11 00000379 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS CO99 01 6/17/11 JLL BLDG C/O FINAL TIME 01 00 6/17/11 DA OVERRIDE TAKEN BY LPANGRLE DATE 06/16/11 TIME 15 08 28 June 16 2011 3 07 25 PM 1pangrle SUSAN 460 0621 C OF 0 FINAL Z SALON AFTERNOON June 17 2011 4 45 51 PM jlierly C099 02 9/06/11 L BLDG C/O FINAL TIME 03 15 o, L OVERRIDE TAKEN BY LPANGRLE DATE 09/02/11 TIME 13 57 17 September 2 2011 1 55 14 PM 1pangrle SUE 460 0621 (I CALLED HER TO FINAL THIS PERMIT C OF 0 FINAL Z SALON SHE REQUESTED AN INSPECTION BETWEEN 3 00 5 00 PM COMMENTS AND NOTES PREPARED 6/17/11 8 41 18 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPEFTOR JAMES LIERLY DATE 6/17/11 ADDRESS 306 E 8TH ST SUBDIV TENANT NBR Z SALON CONTRACTOR OWNER DIANE MARKLEY PARCEL 06 30 00 0 2 7038 0000 APPL NUMBER 11 00000379 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 6/17/11 J -L rO' BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 06/16/11 TIME 15 08 28 June 16 2011 3 07 25 PM 1pangrle SUSAN 460 0621 C OF 0 FINAL Z SALON AFTERNOON COMMENTS AND NOTES G-aARNe 7 L i 9dt- eta PHONE PHONE (360) 460 5639 CITY OF PORT ANGELES Attn Permit Technician 7: 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 BUILDING DEPARTMENT phone 417 -4815 FIRE DEPARTMENT phone 417 -4653 CERTIFICATE OF OCCUPANCY APPLICATION Changes to a fire sprinkler system or fire alarm system? Yes No C Work planned CITY CLERK phone 417 4634 Second -hand dealer /pawnbroker business? Yes No f� 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 PLEASE PRINT IN INK Check one New business in P.A. Change of ownership only? El Moving location from within P.A.? Zoning D BUSINESS NAME Z- 544-- 0 Business address r I 6 o S .c ail g address 5 (�,1��- Phone number /,or) '�O(� _1 Opening date 52 Days hours of operation ?--F 9- 5,_ Business owner's name :uS 4 KJ 2- t'i C.�/L_ Contact phone /»_y (D (1 Business owner's address 5g' S. f .A ,a 1 n_4it e, P b 99 61'7, Brief description of business CPI�I,f -C� C Is the business a restaurant or bar that will seat 50 or more people? Yes No CY FEES Certificate Inspection Parking Business Improvement Area (PBIA) fee charged for Downtown locations Bldg approval by on Property owner's name ta/P/X- Y f 1 -6 (/I Contact phone 3i/PO —5 5 Property owner's address /contact .J Construction changes planned (moving walls adding /enlarging windows or doors roofing siding foundation work, adding /altering stairways ramps, bathrooms electric ealg /c tiling /y entilation syste s tc) Work planned S'% "19- Z f b6) ult�C 7`e //,ftpi4� ilL.9 Fire approval by _1 on PBIA (Parking Business Improvement Area Downtown) phone 417 4623 Square footage of business? 3 0 PB /A notified on Is business moving within the PBIA? Yes No City Clerk approval by on Permit# 47;, it COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by Number of off street par ing spaces available customers? 7 (A parking plan may be required.) Signs? (wall- mounted freestanding projecting, awning A -frame etc P b, 1a ,Le G U Signs planned PLEASE NOTE: NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 -4812 Is site work planned (new or re- located sewer or water service 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 Er Work planned PUBLIC WORKS WASTEWATER phone 417 4845 Will waste other than domestic household waste be discharged into the sewer system? Yes No P' If yes, what will be discharged Call for Certificate of Occupancy inspections BEFORE opening business. Buildiing 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 yAkbi Print Name Su, &lic I e. T \Forms\Building Division \Certificate of Occupancy Application (2010).doc for employees and I chair o fly Page 2 of 2 Is v ap/.'r uy PWW approval by on o., on lift Signature "7%(/�C. C� '7l ex CERTIFICATE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 PLEASE PRINT IN INK Check one New business in P.A. Change of ownership only? Moving location from within P.A.? Zoning r, BUSINESS NAME 54-L o k) Business address /2 I,- 8 t !piling address S 2 'Z Phone number 4Yh '—(.x(00 J Opening date 5 /Z Days hours of operation F 9- 5, Business owners name 't/1,S 4 s PL_ Contact phone 7(:)/ ii L Business owner's address S. _011.A .cei/ P A. 99 2 (.0— Brief description of business �L— Property owner's name I Mild Cd/Y L/ ,L4 Contact phone 3 /4 7 —5639' Property owner's address /contact .J BUILDING DEPARTMENT phone 417 4815 Is the business a restaurant or bar that will seat 50 or more people? Yes No R Construction changes planned (moving walls adding /enlarging windows or doors roofing siding foundation work, adding /altering stairways, ramps bathrooms electria0g /c� /ventilation syste s tc) W rk plann S %rl 9. l t° /iG�d Y/IAGc iY����.�/� ft, A_ f74 9Z FIRE DEPARTMENT phone 417 -4653 Fire approval by Changes to a fire sprinkler system or fire alarm system? Yes No D/ Work planned PBIA (Parking Business Improvement Area Downtown) phone 417 4623 Square footage of business? 0 PBIA notified on Is business moving within the PBIA? Yes No CITY CLERK phone 417 4634 Second -hand dealer /pawnbroker business? Yes No B Will there be dancing at this business? Yes No V 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 Bldg approval by on City Clerk approval by on Permit# II FEES Certificate Inspection Parking Business Improvement Area (PBIA) fee charged for Downtown locations on PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 -4812 Date COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by on Number of off street par paring spaces available customers? (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. Is site work planned (new or re- located sewer or water service, 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 a Work planned 0 PUBLIC WORKS WASTEWATER phone 417 -4845 for employees and chat- o fly P 1E apprvvaf RV vii 1 9'c2.7 -1 /lJo YIA w. esA4.- PWW approval by 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 cashie 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. Print Name SU C ///t. Q Signature %(/r �0/I T \Forms \Building Division \Certificate of Occupancy Application (2010).doc Page 2 of 2 At CERTIFICATE OF OCCUPANCY APPLICATION Permit FIRE DEPARTMENT phone 417 -4653 CITY OF PORT ANGELES Attn. Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 PLEASE PRINT IN INK Check one New business in P.A.? Change of ownership only? Moving location from within P.A.? BUSINESS NAME 2- 54-1-0 Business address g ,7 I 6 ail Phone number (et) '-Oto Opening date 5 Z/ Business owner's name as 4 iC) 2 -f t' Business owner's addresses S a2 Brief description of business Property owner's name t (4t.L rn C./Y Property owner's address /contact .J BUILDING DEPARTMENT phone 417 -4815 Is the business a restaurant or bar that will seat 50 or more people? Construction changes planned (moving walls adding /enlarging windows or doors roofing siding foundation work, adding /altering stairways ramps, bathro•ms electric ea g /cooling /ventilation syste Work planne S/ n e T� n Changes to a fire sprinkler system or fire alarm system? Yes No Work planned PBIA (Parking Business Improvement Area Downtown) phone 417 -4623 Square footage of business? 33 0 Is business moving within the PBIA? Yes No CITY CLERK phone 417 -4634 Second -hand dealer /pawnbroker business? Yes No I� Will there be dancing at this business? Yes No V 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 FEES Certificate Inspection Parking Business Improvement Area (PBIA) fee charged for Downtown locations Zoning v, 7 t g address S Days hours of operation 9- CL Contact phone /09 Q� 1. /iii r.� P p et is oo- Bldg approval b k r' Yes No PBIA notified r Contact phone 3/PO (Pt 563 9 I II I I Ir on Fire approval by 2 on 5113.144._ City Clerk approval by H on (1 COMMUNITY ECONOMIC DEVELOPMENT phone 417 4750 Date Number of off- street par ing spaces available for employees and customers? 1 chair o r y (A parking plan may be required) Signs? (wall- mounted, freestanding projecting awning A -frame etc Signs planned b 411.6t6( C i� ('/�,P� G /1.4(/I Work planned PLEASE NOTE: NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 4812 Is site work planned (new or re- located sewer or water service excavation grading or fillinglwork in City right -of -way new driveway openings, site drainage parking lots, downspouts, irrigation system backflow devices etc.) Yes No Cpl' PUBLIC WORKS WASTEWATER phone 417 4845 Print Name S T\Forms \Building Division \Certificate of Occupancy Application (2010).doc Page 2 of 2 CED approval by 6R on 5 121 it PWE approval by SV on -2i PWW approval by on Will waste other than domestic household waste be discharged into the sewer system Yes No Ca' 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 1 hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information l have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. Signature Ad ///t 4 I: 4 7 3 'I* 1 ~ o \fl \ \Sl - ,.~. Business name: Business address: 62-0333 01-15-08 Date Post on the premises in a conspicuous place. This a I not be removed except by the Building Official. ,.~- f'\djJ 02-1~1 ~g ex') ~ Sf:. -e\ coco 0 , 10 10 M ri , r- ri M CO 0 f>lf>l elE-< f>l ..:..: ~ o.Q H E-< CO 0 , 10 ri , ri 0 QJ >< "ri P: f>l '" f>l E-<01 ..:l ..: <: ..:l Q m ..: >< 0- el ..:l ..-< P: E-< f>l of>l ~ H :> ~;;]~ ..:l H f>lf>l E-< Q ZZ riel f>l f>lCJl ~ 00 O~;::; ..:l f>l :O<:f>l :X::X: E-< E-< ~n~ Ul "'''' "Pol .. ... 0 f>l..:l\D H Z E-<'":l ~ M ..:l H)-4.. Q Z " E-<<Ilco f>l ~ OP: :x: HO CJl Zco E-< E-<E-< f>l E-< f>lo CJl UU CJl Z ~~OCX)1 E-< f>lf>l ~ f>l ,,(,.::(NM Z 0.0. , Z~ ZE-< M..:l f>l CJlCJl 0. H ..O"t..:r: ~ ZZ U 00 t1. ~ III I Z H H U HU QI"'"lf"'-HZ 0 0 E-<' OH 10"'0 U o.CJl ........ ~ >. oqo 0 '" HE-< Ugj~..:O~ 0 55 , 8[)a~g;~ of>l ~CJlCJl oel CJlf>lf>l ..:l mO '" g:;j ~QP: <Il' '":l Q U..: , ':x: 8 coU M 0' E-< ri r-o og;5 , 0 >: >< , U E-<H f>lN !>.ZCJl \D CJlP: ..:l , ri OHf>l ri :x:~ :0<:010 P: P: '0 ~ '" E-<f>l ~oo ~QQ CJl co:X: 00 f>l '0 -..:l f>l": f>loo f>lf>l CO cof>l \D~ ~MO E-<E-< 0 oel , , CJlf>l , ;;,~ 00 H\DCO ggJ~ 10 MQ QOO ri ri O~ , 'E-< f>l0 ri riP: P: P: P:U 0 . <Il P: .f>l 8 0. ZO <Il Q E-< f>lo. CJl -u ~ ri ~o CJlE-<;:i ..:l E-< 0 0 H CJl 0.>< ~~E-<gjtl..:l ~ , '" f>lE-< Qffi~~~g; 0. '" P:H >< 0 o.u ~E-<uoo...: 0. E-< U r-- CERTIFICA TE OF OCCUPANCY APPLICA TION Permit # 015- S( '- CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 ~ FEES ~ Certificate / Inspection $100.00 Parking Business Improvement Area (PBIA) fee charged for downtown locations Print in ink Business owner's name ~rl;? 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 / 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 chanQes t-/' Electrical Depl. at 417-4735 New or relocated siQns ~ l.-/' BuildinQ Division at 417-4815 Construction chanaes J ./" " Mechanical chanaeslheatinQ, cooling. stoves) .,/ " PlumbinQ chances (../ " Fire sprinkler svstem chanQes (../ " Fire alarm svstem chanaes V " Is this a home occuoation? v Plannina Division at 417-4750 Second-hand dealer or Dawn broker? V Citv Clerk at 417-4634 New or relocated sewer or water service V' Public Works at 417-4807 Excavation or fillinQ of lots V' " Work done in the Citv riaht-of-wav (./ " New drivewav ooeninas f../ " Gradinc site drainaae (oarking lots, downspouts, etc.) (../ " Landscape irrication svstem (backflow devices) 1./ Water Depl. at 417-4886 Off-street oarkinQ , ,./ Existina streets paved V Existina sidewalks 1/ Curb and autter ,/ Call for Certificate of Occupancy inspections before openinq business: Building Department Inspection 417-4815 ..llL /:; i.J 1 w d' Fire Department Inspection 417-4653 'l-/j"'~i. ~ e.- c t'~ or' '''5 Please provide a minimum 24-hour notice for inspections 0 t/1 /11 ::>/ d-€-o f' W J 1'1 do c.-J 'II! <4: c..t be.- I;J..!J Y I ;J..,!/ (, ''''t:"It~ s) 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. I ~ .~ /' Datelllt...J/og Print Name .JJOv1J'7a./ lI-f'nJrlx Signat~~/~ f .Lj Department Building Fire PBIA Planning City Clerk Public Works ---- T:Forms/Building Division/Certificate of Occupancy Application Rejected Initials & date Comments / Conditions Type of construction Occupant Load Automatic fire sprinkler system required no yes r ." . ,- Use Classification: ,.~. CERTI~~..'/~1~.......-E~~~. UPANCY // .."Clty..O.! Port Angeles, / ----", Buildhig Divisio.~ .... \ ~ ...,f' ,... ......... This C!tijication.issuedp!!.rsuant to the requirements of Section 109 of the UnifornJBii/ding Code,certifying that at the time of issuance this s~ructure was in c1mfilianc.e. Wi.t.h'the\V.Ulario~s rdinances of.ihe City-regulating B.U ilding I r ~ "" -..... . - \ const~t:Jipn 0 ~ t. FE! thefollowJ11g'", , Officee-;;.' ~~7. PermitNoY \ ., BUS. ~.essName:. . Kar...e. n'sBO.r... eeping Service '. ~ II Type of Construction: VN :;,' use~ne: ---1 N K'm"en~S ence KddTesS:"230;Motor"'A:Ve.. Port Angells. W A. 98362 \ l \ L___ --~ /L. s St - h -.. --' ., o r 17 2001 B J r--.- ...r .' ...... 'R-.~~ ID-2. 0 \ ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee DATE /t1 /;:; 1//1 Address of Proposed Business 3()~ E p-/// Applicant .KO"I"'n Sh~nrtD ~ Address .:< ;J,,/)ll1(Jf,Jr 17~e. ~,. f AI' 0 ~ I ~ ~< 'u J 17 9 f' .3 t, :2 Phone: business ~- -;?!I~/:' home 45.} -",yO 7 New Business ............................ ( ) Transfer of Business location. . . . . . . . . . . . . . .. ( V) Change of Ownership . . . . . . . . . . . . . . . . . . . . .. ( ) New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( ) Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( ) Temporary Business ....................... ( ) Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( ) Brief description of proposed business: /f:.,~j 1C"'~h/ I .. /7 ../ ~ 7/1 Y ori'"/M1":41/rn "u"/,,,.,,,,// y / ~r , legal Description: lot '" ~ 9 ~ ~ Current Use of Property: A -Ii r, 1 ,. ,/ '_ ./. Zoning Classification of Property: C1v' 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 /J-I ( , ~ r YES NO V'" -- ........ -- _V -~ ~~ -~ _ V _ V -~ ./ -- -~ ~- -~ V -- - .,/" ,,/ -- V -- v' 2.7C) 7 /;> 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 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: APP~~~ED REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. Io;~/ ~ /1) /~ 101 ~h</ _,/p'''''L- . . ?a.~clID-2-0\ B - V IJ - GAl ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee ko..,.er/5 Ekl<keepl'f\'j S e./'v ic.~ DATE /1) /:2 /a/ Address of Proposed Business 3b~ e P-f-h Applicant J:d r~ n .s;p P.i1 (" e Address ~ .=30 .dJtJ 7tnr Il-;e. ~rf- Aat;.e /",..5. kill 9 ~:2. Phone: business #//- <?J'"i home /fS::z-?J'07 New Business ............................ Transfer of Business location. . . . . . . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . . . . . . . New Building ............................. Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ....................... Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . Brief description of proposed business: &d L:lc~ ~~),..1 J legal Description: lot AI ~ 9"'" C( Block:2.. 7 C) Current Use of Property: A~rn "'1 s d-r:/c.~ Zoning Classification of Property: c.'Iv' 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........................................ . YES NO v -- v -- _V _ ..L.. ~ L... -~ _ v _ V -~ ../ -- -~ ~- -~ v -- V"" -- v -- V -- a/ ~..Y .o~/l"~ ~~/J A-2.~r/J// t/ 'r Subdivision 7" ;:>~ 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 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: APPROVED 0 \ REJECTED R~/b Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. KDiJ lo~g -OJ-f6u /tJ /2/01 ~~/ _~.r~_ Comments / Conditions f'OAT...... t1~O~Q~~ ~:;. . .... -=:..:II ~ ~ ~d-' ) v' ) ) ) ) ) )