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HomeMy WebLinkAbout212 1/2 S Peabody St - Buildingses CERTFIcATE OF OPANCY ysilfPort sion This certificate is issuedipurSitant .to the requirements of Section 110 of the 2006International Building Code certifying that at the tme of is suqnce structure was in compliance with the various ordinances of the City regulating building cfnsteUefipri* us for the folloving 17,n,0ttre ove .4:1,2 Business name Business address Owner of businessf Owner; address e5:075.t 2n St. Poittkigele. 8362' Automatic fire sprinkler system. Per LQ Use occupancy clasSifiCation. Busities§ Building permit nuniXe.r.- --.07=172:39 Type of construction. Occupant load. Perz) BC Post on the premises in a conspicuous place. This c a an mg Manager 10-26-07 Date I not be removed except by the Building Official. MtAek 12-n-07 PREPARED 10/25/07 10 45 49 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/25/07 ADDRESS 212 1/2 S PEABODY ST SUBDIV TENANT NBR ERICH SEIFERT CONTRACTOR PHONE OWNER Gunderson Jeffrey /Linda PHONE PARCEL 06 30 00 6 5 0006 0000 APPL NUMBER 07 00001239 CO- CHANGE OF OCCP /USE C099 01 10/25/07 PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 10/25/07 TIME 08 10 52 04/06/2006 09 03 AM PBARTHOL October 25 007 8 09 37 AM 1pangrle ERICH 360 618 2501 C OF 0 FINAL THE LITTLE OVEN AFTERNOON COMMENTS AND NOTES 4. -k E I ►zo,6e 12 DATF l„ L /771E f ROUTING SLIP i J V Certificate of Occupancy ^Y� f .r✓ /'f iPP F i�t r 0 1L $:58 -00- Certificate /Inspection Fee Address of Proposed Business —212 /2_ Peabod,m St Applicant Address Phone business home 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 7- 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 ((ir i)pf 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 Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. New Business Transfer of Business Location eLe i Nf oC Change of Ownership o >�C New Building Remodel 2 Temporary Business Change of Use YES NO Date Signed 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other hate tved 1 01) Comments Conditions 7 f ,L14 Block Subdivision Ci r2- We \a i11 THE FOLLOWING WILL BE REQUIRED PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other o.Ai 1 riij -ta 3 0 t ?)0 1-1C' b i e r ntat. A L IRS o Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Gunderson .Jeffrey /Linda 235307 HWY 101 PORT ANGELES Permit Additional desc Permit 'pin number Sub Contractor Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total WA 98363 COMMENTS /ACTION NEEDED ELECTRICAL ALTER EX MILE/ 1 CIR 0 110486 EXTRA MILE 58 00 9/13/07 3,/11/08'• Charged 58 00 00 58 00 CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 32L.EAST 5TH STREET .PORT ANGELES. WA:98362 07 00001031 652788 212 1/2 S PEABODY ST 06 30 00 6 5 0006 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 TECH Qty Unit Charge Per 1 00 ;58 ;000° ECH EL.'COMM.'.ALT <S.ECI.RCUITS Paid Date 9/13/07 Con'tractbr EXTRA MILE TECH ELECT LLC 41'8 N 'R'ACE ST' PORT ANGELES WA_ 98362 (360) 457 ■'198 COMMERCIAL VEN, P, ELECT' LLC Plan 'Check .Fee Valuation 58 00 00 58 00 Credited 00 00 00 Due Extension 58 00 00.` 0'0 00 0 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO COMMENTS PW- I10115I4a94) Nov 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 -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 APPR VE /fl d igU REJECTED 6-016e)r EriC I Iz.abei-C, Sei-ert -1Z39 TyEL/rr1� /veil ROUTING SLIP Certificate of Occupancy {���ZJ4r/ "0r PT Z0•4113- rtifi at nspection Fee DATE vie J Z001- Address of Proposed Business 212 V1 P6A BODY S Applicant c e 1 Address 30 E 2nd Sf G�L�S J A Phone business X 250/ home 360 Brief description of proposed business c`f o leo nay. S cum yr 9 g3 Block YES NO K x 3i dg DR-e 1 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 Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use THE FOLLOWING WILL BE REQUIRED PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other Received Signed 6 Date Comments I Conditions was a fP.1; uv► v 4 vein Subdivision 40 0- Go rnT €,r U r-e... ii m- sat h ©U hS 30 ary\ -'1 30�� L I -3 6 -30 PIYn No. 53 CERTIFICATE OF _OCCUPANCY City of Port Angeles "k‘ Building Division 1, N \1/4‘.. This Certification issued-pursuant to the requirements of Section of the International Building:Code certiffing„that-at thelime of issuance thivtructure was in compliance with the various ordinances of th Cit 11 construction oruse..F0 the followink' Use Classification. Business Building Permit No. 05-261 Business Naine: Peabody St. Deli 1: ii Group B V,, Type Construction. VW Use Zoite:i, CA Owner of Business: ToniiRieger Address: 817 S. Lincoln Street. Port WA. 98362 II Building Address: 212 V2 S. Peabodv Street PortAngeles. WA. 98362 :November 16 2005 N, Building Official N Date Post on tiie-premises in a c■Ospicuous place Shall not be removed'ex by Building Official f ab £1e -t OJ I DATE K7''• Address of Proposed Business 4 Applicant Ni €A im Phone business home #1 Legal Description Lot Block Current Use of Property D&- A c-e-- Zoning Classification of Property VC-(k_6_12/1kA-+J 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 Brief description of proposed business V v ZAN -tom., 1 APOR if 15 67Jo5 DD /i/os VED/ 1 REJECTED ll -Icr off- 1- A ROUTING SLIP ?G. C ertificate of Occupancy $47 00 Certificate /Inspection Fee 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 A Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. Comments Conditions New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use oS 261 Subdivision Date r l 1 n Signed U THE FOLLOWING WILL BE REQUIRED PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other O 4 CERTIFICATE OF OCCUPANCY City of Port. Angeles Building=.Division This Certifc,cation,issuedpursuant to the requirements of Section 109 of the Uniform'Bui'lding'Code certifying, that at the time of issuance this structure was in compliance"ivith`the various ordinances of the City regulating Building constructionvr.use. For the following Use Classification: Restaurant Building:Perriiit No Busiliess:Narrie: "T'eenvx 'inv Deli Group. =4. x p' A 3 "Type of•Gonswction.... -.VN s a1se�Zone: CA Owner of Business/Residence: Alice Fay Miller Address: P..0. Box 192. Carsbora. WA 98324 Building Address: 212 South Peabody. Buil' iflg �w�r t Post on the-0e Shall not be remove Port Angeles. WA 98362 October 18. 2002 Date r s icuous place P p except by Building Official •O t DATE L-2 0 2 Address of Propo I Busii in ness Applicant AL1 Cam ket' o. rF oso j q7_ fort v Address Phone business 1- 62Y 1 4 421 home 5 n 61114 6 Brief description of proposed business. Legal Description Lot ___L6 L 3 Current Use of Property De-1 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 jetiny ri'wy be, ZZ OZS� 3o kz-TA 7 REJECTED ROUTING SLIP A Certificate of Occupancy 4 -i 31 $47 00 Certificate /Inspection Fee \f .ry ,Sma ll Snack if a/ C A YES Block 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 Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. Date VW New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use 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 THE FOLLOWING WILL BU 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 2 2 CD 2 Signed X 1, 1 V l,3AJ A Comments Conditions Subdivision ZP %gh�ons sic�o, BE REQUIRED SINESS LICENSE Taxi Peddlers 2nd Hand Dealer Pawn Broker Dance Hotel Motel Fireworks Ambulance Tattoo shop Other Building Address: 212 1/2 CERTIFlCATEQPCCCUPANcy This CertifiditiOnYissuectpursuant to the requirements of Section' 109 of the Uniformwit000go44 time ,0aqnce this structure was in comiii444,iiifilet he' fir an441 regulating :8:uilding cons Sp::.giirtliefo nit Regtatitantot „Secuim. WA 98362 4362 Set•tember 17_ 2001 Date 'emus place ceptdby Building Official 't DATE I 206 Address of Proposed �t t2 //2 P bbLi Applicant ept Address L9 t 1k 6 g6 U 1 1A M, Phone businessys 1 44 22— le, home (v 69 Brief description of proposed business v SG V1 cal IA) l LA" S Legal Description Lot /.6 Block Current Use of Property Zoning Classification of Property CA 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 APP REJECTED d KOO ROUTING SLIP Certificate of Occupancy $47 00 Certificate /Inspection Fee 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 Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use Date Subdivision THE FOLLOWING WILL BE REQUIRED PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other IPT S 2b0 Signed GJ\ 0,91 SW.V\I Comments Conditions u IS a ft YID,n c.04a[w.tY1 Wk f e l a a mac V 0 5 1 0 1 TL vt c, V CERTIF1CATE 40F 'OCCUPANCY City of Port Angeles Building Division This GertifkeitiO44s pur to the requirements of Section 409 of the Umforn Building Code certifying time OftSSigince:this suifcture was 4 in c.,(O: niplianee-With the VariOUs.J?frdinancekoft4e•00 regulating Gilding construction akuse: For4hefollOwing: 3 Use Classification Restaurant Building PeuuNo •F-„ Group A-3 4 Type of Construction CA Owner of Business/Residence;;A Kelly St imbert Building Address 2 1 t2,. Address 702 Estes Ct. PA WA 98362 ,P0 WA 98362 f'4 2001 Date ous place. ding Official uiId' Post o' Shall not be- ft. e_ ii /76r/•i r r DATE `1 I co Address of Propoqe Business t tf Yi 10 E Applicant Address Phone business «-3�� home 3123.0 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 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 "yz zio SP- REJECTED ROUTING SLIP Certificate of Occupancy $47 00 Certificate /Inspection Fee Block 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 Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use Date Signed 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 Comments Conditions Subdivision BUS 1) 2) 3) 4), 5) 6) 7) 8) 9) 10) THE FOLLOWING WILL BE REQUIRED INESS LICENSE Taxi Peddlers 2nd Hand Dealer Pawn Broker Dance Hotel Motel Fireworks Ambulance Tattoo shop Other 1 ,a` i l coo S- QV V Air SEP-04-2007 12:05 PM E.JANSSEN ~trlclll COlllraelor ..J AnnuMI Pt.'l'mJt C Alarm S'" ..", ~ ..) CJ OWller "liiI;....'1' o Cnrnl\'ltl';IJ Commel'cllll 360 452 2982 P.01 .. ELECTRICAL WORK PERMIT API'LICA11ON , CJ Re.quest Inspection Job wired hy Q Electrical Contractor DOwoer D R"ldentlol Cl R..idcntlol Malnl. 0 Sign, 0 Thermo'tlll iJ Tel.com. Eleclric~1I Conllacttlr name Lic~llsc number . Exfn..1: f/1 {t.t.,-e:/~<'-m'ccrl 11'''I'C~;e''.'lin~~.~ Kofff )T. ! '? ~ S.", ZIP I ..~_ "\. d.....~__~_4r3'~2. Tclc(lhnnt.' llunlber F^X I'Iltmbcr . J"O-"~;-f'.J;:I7.. "3G.D- r-7 -. ,"S- o IJreml'l:.Ii owner', name. ~I...J.. .LwL.L...."'~J!!L 0"",4"ON .\ddre~,pet'llon ~'-'~ ,ft1./ ;1.,z. II,,-~~~!.Q~__ . \+b (loLl- ..... te.6j,..Ju.- '1. t '" ---- : 1 hereby cC:ltify that I Iill1 the owner of the abnve nallled propcJty or Ii licl;:nscd o l'leCh.iC::I1 ('Onlrn,ctOr (or the firm's ~llthofi:t.~t.l n~!cnt) .mri am milking the electrieal 11l~!lllhllioll or l\herulin" in L:omplinnet' with thl;' I.'lc('trical I}lw. (,haplcr 19.2S RCW. x l(nCfn,. or l!1t'('lrll'al l'HIrn.;lIistralor n ..~ ( \\~I.LS 1.-r,;;;-"""I'''OIl o~:,:"';;;,.,-- I ('OV~I' ~ 1J~lt __. A(lt""V~'dli~ CEII.(/liG Insutlltioll Only ----0;,1\ o'\Jlrr,w",iny-- Clh-l'r --. n~l~---- 0 . "rprll\td J:ly M____ _._ ._ ~leClrl.Bll,o.Dll.Alllll!!11M.mKlju ,IlUb1raCIIQ!l@ .J NO lOAD CHAN('eS ..J Baseboard .CW ~J Furnace __. ~CW .J Hea' Pump ... Ton __ tAR .J Fan-Wall ~:W Instllllation de:s~'ripljon k)oe.uJ -.r:.o__.~_ OV..t..Jt\.J . ~ C.11C..{.ld . . o ellsh 0 Check I; D ['redit Card Visa Mastercard Discover Card # ___~. __ _____._. Expir~ti(m Date of elin] k --J THERMOSTAT Dl'll: ^f'f'.....~dlJ~ 0 C=orr~I~,,'~J I SERVlrn ~~ n"l{ ^JlP''''~C~ Ily - I' FEEDER "- Dille .. ~~ ~rvlCB InformBlloll Q O'V9rhaad SBrviL:p. (J Temp Servioe U Underground Service Voltage Ph... I:l , CJ 3 Servlc9 Size: __~ Feeder Size: . tn"PQ~\i~m Dall' --- --._- ----,- Area. Buildine ()!' 1:quipllle1lllnspccted Action Ta.ken f;lectric,11 In.spector 7ft /01 f{",,,+/,--_. -L- '.,fO L- ~ !8lECE I -Sf -------- .--t1G\ff" ~ ROUTING SLIP ~ Certificate of Occupancy ~.~ '~'$47.00 Certificate/Inspection Fee DATE (~ ~ ~"'~.- O 2 New Business ............................ Address of Proposedr 7~-~,A _ ~_Business' Transfer of Business Location ................ :'"L"'(-A ~CT--.]V Change of Ownership ...................... Applicant' ~}/~'~--~-_,~ j/~//~?",,~ ~.~ _ New Building ............................. Address '~.~.[~O~ _J~)_ L'0r'l~or~ (~c~. Remodel ................................. Temporary Business ....................... Phone: business ~5~?~/'~Z. home5 r2-cflq Change of Use ............................ Brief description of proposed business: V'~¢'¥ Srnqtl Legal Description: Lot I~ -- ~'~¢:;~ Block -~"~ Subdivision ~.a 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)' Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way .................... '~ 10) Water meter installation 10) Other Is there Sufficient off-street parking? ............... ~T-- 11) Fire New driveway openings ......................... ~_ 12) Occupancy A grading 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) Conditional 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: ~ ~ ~ "2: r~ information I have supplied is correct to the best of my know,edge. S,gned: J.o, D REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk RB.I.A. CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division This Certification issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use. For the following: Use Classificalion: Restaurant Building Permit NO.: BusiI~S Name: Teeny Tiny Deli Group: A-3 Type of Construction: VN t~Zone: CA Owner of Business/Residence: Alice Fay Miller Ad,ircss: P. O. Box 192, Carsborg, WA 98324 Building Address: 212 1/2 South Peabody, Port Angeles, WA 98362 ~ 2002 Date Post on place. Shall not be by Building Official. ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee DATE ~)T, ~ j ~){~ ~ I New Business ............................ Address of Rroposed Business Transfer of Business Location ................ ,~.['~.. ~/?_ ~=¢.t_~)~c:~W Change of Ownership ...................... Applicant ~ ~/~,13¢ ~ '-~)~'Y ~/--, New Building ............................. Address ~(~.1 ~['~--~_,¢ ~)~ '~TC~ I1~/ . Remodel ................................. ~.~ I~)~)~-~%'1 ~A,)('A~ I~KJ - I Temporary Business ....................... Phone: businesseS:)-%' qq~--- home (-.¢~" b?)5~ Change of Use ............................ Brief description of proposed business: -~ ~r ~ Legal Description: Lot /~--,_~ ~ _L- ! ~ Block 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 .............................. .t~ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) .............. "" ~ 2) Plumbing 2) Peddlem 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) Sidewalk obstruction 9) Tattoo shop 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 A grading 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) Conditional 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:~:~  REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. CERTIFI~ CUPANCY Buih s o 109 of the in Use Classification: Group: A-3 Owner of Business~Residence Building Address: 2001 )ate Post on place. Shall not be re Official.