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Home My WebLink About801 E Front St Ste D - Building 't City CERTIFICATE of :Pout Angeles Building D iv i s i on This certificate is issuedpursuant to the requirements of Section 111 of the 2009 International Building Code certifying that at theime of issuance this�structure was in compliance with the various ordinances of the City regulating buddingrconstruction or use forithe following r� b Business name: I d Ap pare l and S m oke Y Business address '801 E. Front St, Suite D 0 Properly owner: 8 01 E. Front LLC Property owner's address: PO Box 460, Carlsborg, WA 98324 Automatic fire spnkler system: Per IBC Use occupancy classification: Business Occupant lo ad: Per 2 009 IBC, Table 1004.1.1 Building permit numb X 1 1 11128 r Type of construction: VB. r s ,�'a ma l OptC� k 12 -19 -11 Sue R b P Zann z ng�Manager Date h -„,-.71 r101 4 ba o Post on the premises in a conspicuous place. This certificate shall not be removed except by the Building Official. I T ,our a ti CERTIFICATE OF OCCUPANCY APPLICATION Permit# e s: R f FEES CITY OF. PORT ANGELES $50 Certificate Inspection Attn: Permit Technician NNW 321 E. Fifth St., Port Angeles, WA 98362 arking Business Improvement Area (PBIA) (360) 417 -4815 fax (360) 417 4711 fee charged for Downtown locations )fr 5 PLEASE PRINT IN INK Check one: New business in P.A. Change of ownership only? Moving location from within P.A.? Zoning C., A BUSINESS NAME t-'I VO C s' YP,\ CW 16 1- 11n11 Business address a t* `!mp, D i 1- Mailing address 7 11 C G Finn J R1>r-I'PareS„ vim Phone number,(, -I( ?.2( Opening dateJOV, ,2oli Days hours of operation_ do, y barvt- Business owner's name he )+f°i'll,M- efsa,VOY Dkprham Contact phone -Lo tif0C�22 Business owner's address V1r(\ pto Pc ¶'t );m, InAI 9e, 3 PO— Brief description of business Pt' k Sit al t, t Property owner's name t` 0 0 E ELC Contact phone Property owner's address /contact f 6 Pio',t 23 Ss �il�tr`d u .W Pr 6 t83 33 2 ;32_ It BUILDING DEPARTMENT P hone 417 -4815 Bldg approval by /I on f Is the business a restaurant or bar that will seat 50 or more people? Yes No 7 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: FIRE DEPARTMENT phone 417 -4653 Fire approval byV. )D by e 1 1 1 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? I S n‹--) PBIA notified 1v on Is business moving within the PBIA? Yes No. CITY CLERK phone 417 -4634 City Clerk approval by a'1.4 Mail Second -hand dealer /pawnbroker business? Yes No t 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 ,I'i COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by 1 f Number of off street parking spaces available for employees and customers? S (A parking plan may be required.) Signs? (wall- mounted, freestanding, projecting, awning, A- frame, etc Signs planned: lend WSrar6∎ o ex-n.i Vaicke. 00aCc en \Ou■ PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by l :Si I V I'd I I PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417 4812 4b (4)m 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 R Work planned: PUBLIC WORKS WASTEWATER phone 4174845 PWW approval by 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. hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information 1 have supplied is correct to the best of my knowledge. Incorrec formation may result in revocation of permit. Datei CAM Print Name /rP VOr a /v) Si atur T:1Forms1Building Division\Certificate of Occupancy Application (2010).doc Page2of2 Clallam County Assessor Treasurer Property Details 61645 801 E FRONT LLC for Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 61645 801 E FRONT LLC for Year 2011 2012 Property Account Property ID: 61645 Legal Description: SMITH, NORMAN R LOTS 10 -12 BL 38 2/3-1/3 INT Geographic ID: 0630005138400000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNN H2 L VVMP Land Use Code 59 Open Space: N DFL N Historic Property: N Remodel Property: N Multi- Family Redevelopment: N Township Section: Range' Location �a ^Ul Address: 801 E FRONT ST Mapsco: PORT ANGELES, WA 98362 Neighborhood: PA East Comm Map ID: 2 Neighborhood CD: 5005000 Owner Name: 801 E FRONT LLC Owner ID: 22952 Mailing Address: PO BOX 2323 Ownership: 100.0000000000% SILVERDALE, WA 98383 -2323 Exemptions: Taxes and Assessment Details Property Tax Information as of 10/06/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due R Statement Details 2011 156067 $4830.42 $4830.33 $0.00 $0.00 $4830.42 $4830.33 I" Statement Details 2010 44344 $4806 69 $4806.70 $0.00 $0.00 $9613.39 $0.00 Values Taxing Jurisdiction Improvement Building Sketch Property image Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented. with "N /A Website version: 9.0.32.2200 Database last updated on: 10/6/2011 3:47 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =61645 10/6/2011 OW- 4w f CERTIFICATE OF OCCUPANCYAPPLICATIOIV Permit Il i FEES CITY OF PORT ANGELES 50 Certificate Inspection A ttn: Permit Technician "MOW 321 E. Fifth St., Port Angeles, WA 98362 1 Parking Business Improvement Area (PBIA) (360) 417 -4815 fax (360) 417 -4711 fee charged for Downtown locations 5" A e PLEASE PRINT IN INK Check one: New business in P.A. ?tX Change of ownership only? Moving location from within P.A.? Zoning 1 BUSINESS NAME \--I \f O +cvC4YP,\ G�l/Z^1 SVYI(?'�''1� Business address ?�.O I 2. 1-trCn al(fiej Mailing address 'i I f 6 Frd7ri i Jv -A-i- 1 tivr Phone number (.r ?,2-L 1. Opening date JOV; i, Ac e Days hours of operations• balm bpi Contact hone -GU I ZZ2 1 Business owner's name 11�1,rv�k �t >,��rn.0rt�''C�teNo�r n,��j�m p y Business owner's address 5 V1113 fp pci s .'Am. Md4 90' 7L Pt2 Brief description of business S!it' k s V'n4 n i r Property owner's name i0 li E JS'1 k Lt---C Contact phone Property owner's address /contact 'Q .P�0,< 2323 r S IN/Pc- G 1S3 3 3.- 3Z 3 BUILDING DEPARTMENT phone 417 -4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes No jZ 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: 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 Square footage of business? 1 5_0'0 PB/A notified Is business moving within the PBIA? Yes No.. CITY CLERK phone 417 -4634 City Clerk approval by on I a/1 i r Second -hand dealer /pawnbroker business? Yes No t 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. r Page 1 of 2 COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by on i Number of off- street parking spaces available for employees and customers? (A parking plan may be required.) Signs? (wall- mounted, freestanding, projecting, awning, A- frame, etc Signs planned: CZ, 4 a 14 a eY' oacrl nn PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by A 4 on JCS /3 PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417 -4812 ND -e vIf_S Is site work planned (new or re- located sewer or water service, excavation, grading or fillirig, work in City right -of -way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes No R Work planned: PUBLIC WORKS WASTEWATER phone 417 4845 PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes Nogi 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. hereby apply for a Certificate •of Occupancy. I acknowledge I have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrec formation may result in revocation of Print Name gVOr i /vj iv Si atur: WWI/ T: \Forms \Building Division Certificate of Occupancy Application (2010).doc Page 2 of 2 COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by on Number of off street parking spaces available for employees and customers? (A parking plan may be required.) Signs? (wall- mounted, freestanding, projecting, awning, A- frame, etc Signs planned: `pc \.a's\ tom e aC� ,Mvarc\Cnc) U PXXS\- ViTcAr(boaccl nn PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by on 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 Tots, downspouts, irrigation system backflow devices, etc.). Yes No ,F2' Work planned: PUBLIC WORKS WASTEWATER phone 417 4845 Pwwapproval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes No;(21 If yes, what will be discharged: Call for Certificate. of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department.lnspection 417 -4653 Please sign up for utility services at the cashiers' counter. I hereby apply for a Certificate of Occupancy. I acknowledge that l have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrec formation may result in revocation of permit. Date Print Name irg VCJ/ .0r) Si atur: AA -a- T: IFormstBuilding DivisionlCertificate of Occupancy Application (2010).doc Page2of2 co o ,:r A It CERTIFICATE OF OCCUPANCY APPLICATION Permit# I \7,f s*., FEES flic CITY OF PORT ANGELES $50 Certificate Inspection Attn: Permit Technician 'WNW 321 E. Fifth St., Port Angeles, WA 98362 l Parking Business Improvement Area (PBIA) (360)417-4815 fax (360) 417 -4711 fee charged for Downtown locations 5;\ V PLEASE PRINT IN INK Check one: New business in P.A. ?Nl Change of ownership only? Moving location from within P.A.? Zoning CA 1 BUSINESS NAME vo C ina1/P,A CWY`1 SitrYwitinf Business address ,A01 b 'Q71>{' 1 Wet* Mailing address 1 i G FOX t iY� 1 v im Phone number, )--I( 2-( Opening date t OV j ,201 -1 _Days hours of operation:, Dail baW)- lcpv1 Business owner's name'(YlP.,VANn ter Y Dsy e (Yetla�r Doy ar�n _Contact phone -,C.0 ''1Ca&t2s, ZZ 2 Business owner's address 5 Vir 4• "0 Brief description of business SIC 1 1.,A St'l''• A A AL C,-._. r Property owner's name c 0 EY1i" LL_C Contact phone Property owner's address /contact 2• 2 k 4r .c. W at d NT phone 417 -4815 g approval by i4, /it on BUILDING DEPARTME Bld a p Is the business a restaurant or bar that will seat 50 or more people? Yes No 71 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: FIRE DEPARTMENT phone 417 -4653 Fire approval by_ z '4) on It -3 0 I t 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? 5 r)-0 PBIA notified on Is business moving within the PBIA? Yes No.g CITY CLERK phone 417 -4634 City Clerk approval by on Second -hand dealer /pawnbroker business? Yes No .t Will there be dancing at this business? Yes No, A City of Port Angeles Business License is required for:. t Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance, Hotel- Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of_ n H ro ro o n H> n ro o 0 roZZ yt� 0 C n M H Y' x1 I K 0 o 0 H 00 O 0 r G n cn N M H d n to 0z ro O ;d tb• Or r ',32, d nr 30 0 0 r M 0 .010'>0 l Z\ t a r n I r 0 H H H n 00 0 M r H MM x Coi nto tH- t7t7Y z N H 0 0 0 0 W C r H m H n on o M C n o C7 x 000 n o k m m m m 0 0 0 M H o r< o o m m m M o x ;nuM0Cm <0 Cn M M 010 0 0 0 1 C ro O 10z0;d0 HI--0 10 CO (I) ar\ m0 n MONiP'i H O \H 0 o 0 Z 0 0 O H n 1 H H o H zo -Jb7'T7 0o n I zz O M >1- m H 3 z ro m C W M 0 H Z 0 1' ro Z N N M C 1 MtT1 H H Imox0 0 .m I m x r r M H M I H H y x H Z m I O H H WCtlH �z O K 0 K H O n N 3 1 c H z C NOM i r 0 y ro 00 m n m 1 ro 'd m z o 0 0 C N x m II M 0 0,-. Z Z 0 H 0 .'d '00 M M H 1 0 M 3 0 0 1 H O C M 0 1 M H Z1 yy 3 z 7 I K d 0 0 o m 0 H 3 3 M H 0 I-' z x m C M r H r 1 M 0 o M M H M r O ro M H 0 3 Iy C M H O "J MM O ill M r H In r N I. W 1\ la P. I W N 1\ I r D I I t CERTIFICATE City of Port AngeleS: Building Division This certificate is issu'dpur.suani 10 the requirements of Section 111 of the 2009International Building Code certifying that at the t e;OliSSUanfrthefinmeturewas in compliance with the various ordinances of the City regulating building cpns,CtiOne 'Ilse fo 0111000 Business name i ceptge-R. Bre:tylpF. CPA Business address e :WE. front St, 5:41ite:eP, r: Property owner i:' 4 801 E. FrotiV140 Property owner s address: PO Box 460Ctirl$1594'= A 98324 Automatic fire sprinkler system. Per Ipp cA 4 Use occupancy classification Busit;l0s Occupant load. Building permit numben Type of construction. 12-21-10 Date ra- Pr. Post on the premises in a conspicuous place. This not be removed except by the Building Official. Y\aA, c 1 st Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 4 circuit remodel Owner 801 E FRONT LLC PO BOX 460 CARLSBORG (360) 683 9033 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 1 00 3 00 Unit Charge 73 5000 2 6000 Permit Fee Total Plan Check Total Grand Total WA 98324 ELECTRICAL 178640 81 30 12/08/10 6/06/11 Per ECH ECH Fee summary Charged 81 30 00 81 30 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00001433 Date 12/08/10 933854 801 E FRONT ST/CO 1)1•1 6 1 O b 06 30 00 5 1 3840 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Contractor NORTH PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES WA 98363 (360) 477 1764 CM: -W ALTER COMMERCIAL 9, LTER COMMERCIAL J j Plan Check Fee 00 Valuation EL BRANCH CIRCUIT WO /FEEDER EL ECH ADDNT BRANCH CIRCUIT Paid Credited 81 30 00 00 00 81 30 00 INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION RESULTS lzlia fib a Acv 0 Extension 73 50 7 80 Due 00 00 00 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date. 2010 -12 -07 16:50 NORTH PENINSULA ELEC City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (380) 417 -4735 Fax: (360) 417-4711 I,. Date: U 1 2 Single Family Dwelling Multi- Family Or Commercial' LCommerc al Addition I Alteration Remodel Repair* Plan Review May Be Req Job Address. Building Square Footage: Description of above Owner I f m Name: Mailing Addre City Y'� State.) t,+ Zip Phone: Fax: License Exp. Unit Charms 119.90 145.50 204.60 S 262 20 372.50 S 2.60 S 73 50 2.60 92.70 $110.30 148.10 $167 90 95.90 it 88 20 9590 $6390 S 63.90 119.90 102.30 S 110.30 5 35.20 5 73.50 110.30 56.00 Owner as defined by RCW.19.26.261 (1) Owner will occupy the structure Mr two years after this electrical permit is finalised. /2) Owner Is required to hire an electrical contractor If above said property is for sale, rent or leave. Permit expires after six months of last Inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I em making the electrical Installation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 298.468, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner. electrical contractor or electrical administrator Cash x wire Ple; a Complete Elecj<ical P n Re, eys Informabon Sheet F Contractor I rmati n� r Name 1\ >C) Y' 1F l 1� f .1 Mailing Addles L. r Y 2. City State: Phone•--\l License Exp. 10 r 4- CI Z Total (Qty Multiplied by Unit CharoJ Service/Feeder 200 Amp. Service/Feeder 201 -400 Amp. Service/Feeder 401 -600 Amp Service/Feeder 601 1000 Amp Service/Feeder over 1000 Amp Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder YO I Each Additional Branch Circuit Temp. Service/Feeder 200 Amp. Temp Service/Feeder 201-400 Amp Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601 -1000 Amp Portal to Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy Commercial. Addiuonat 1500 5500 Signal Circuit/ Limited Energy 1 8 2 Famly Dwelling Signal Circuit/ Limited Energy Multi-Family towelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion or 5 Each Outbuitinng or Detached Garage S Each Swimming Pool or Hot Tub S 1.' Thermostat $51 Total Check la 1-1 t) 3609289409 360 417 4711 I E L J L. ELECTRICAL INSPECTIONS Credit Card I C 1 P 1/1 PREPARED 10/29/10 8 21 01 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/29/10 ADDRESS 801 E FRONT ST D SUBDIV TENANT NBR GEORGE R BRALY CPA CONTRACTOR PHONE OWNER 801 E FRONT LLC PHONE (360) 683 9033 PARCEL 06 30 00 5 1 3840 0000 APPL NUMBER 10 00001062 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS CO99 01 10/29/10 JLL BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 10/28/10 TIME 16 51 08 October 28 2010 4 50 15 PM 1pangrle MACK 360 460 1179 C OF 0 FINAL GEORGE R BRALY CPA AFTERNOON COMMENTS AND NOTES RECEIVED SEP 2 1 2010 0)Kr,i CERTIFICATE OF OCCUPANCY APPLICATION .41 EL ES CI WITHIN P.A.? Zoning C BUILDING DEPARTMENT phone 417 -4815 Is the business a restaurant or bar that will seat 50 or more people? Work planned 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 Changes to a fire sprinkler system or fire alarm system? Yes No Work planned PBIA (Parking Business improvement Area owntown) phone 417 -4623 J )i) Square footage of business k l Is business moving within the PBIA? Yes No 12 5.RK phone 417 -4634 Second -hand dealer /pavvnnbroker business? Yes ❑,�Noo Will 1hc.� dancing at this business? Yes No LW 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 Permit# (9 FEES FEES Certificate Inspection 00 Parking Business Improvement Area (PBIA) fee charged for Downtown locations Suj }e P EASE PRINT IN INK CHECK ONE. ,NEW BUSINESS IN P.A.? CHANGE OF OWNERSHIP ONLY? MOVING LOCATION FROM BUSINESS NAMEt C� w rGt)K G t. kt l i r A C(6 Cc Y tC.1 g k Business addre s W 1 r_ t' it.btJ 1 '1 Y/ �)k Maili g address 15 v ->I Li .O LS 16 di; Vkk_ Wit re Phone number (.IS (4i, 0 1 'LA Opening d e I -I v_ Da hours of op ration y 4 Y Business owner's name C._ f P, C phone In 0 I 1 Business owner's address 0 l L 1' k- U t' k W A `r Brief description of business AC U ki(Tio r, d-- Egli- (Al) q ji ti k Bldg approval by Yes No '(17 on 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) Property owner's name gl 6V *tV (0 t NA Contact phone ,y d ��3 q 5 Property owner's address /contact j) G Il O, I n Il-0( `4�l u c �.7VU9 1x Q I ,a Fire approval by on PBIA notified on City Clerk approval by on COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Number of off-streel parking spaces available for employees and customers? 0 (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. 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 do spouts irrigation system backflow devices, etc.) Yes No Work planned PUBLIC WORKS WASTEWATER phone 417 4845 Will waste other than domestic household waste be discharged into the sewer system? Yes No If yes, what will be discharged Please sign up for utility services at the cashiers' counter .l hereby apply for a Certitccc.te of Occupancy 1- acknowledge that I have r this p lication and state that the information I have supplied_, is to the best of my knowledge lncorrect :ir form ion may result in re.vonation_of permit. Datel I 1 10 Print Name „U, h k.1 ti er (k T \Fors \Building Division \Certificate of Occupancy Application (2010).doc LMLI Signature... I Page 2 of 2 CED approval.by L.Z.1 on 9 /3e) if PWE approval by on PWW approval by Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 on RECEIVED j� o er SEP 2 1 2010 pther�?ti CERTIFICATE OF OCCUPANCY APPLICATION 0 FPCWIT ELES I 'N Work planned CITY OF PORT ANGELES Attn. Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 5u P EASE PRINT IN INK CHECK ONE. 1NEW BUSINESS IN P.A.? CHANGE OF OW NERSHIP ONLY? MOVING LOCATION FROM BUSINESS NAME!, G r�U1 G g A( r� �Lsi e Ptk c A (ii ICC g I V_ 1" btJ 1 4 .1 1' Y(' k Maili g address W Business addre s n r( i �i_D l \(LuS 13 daC, In►A! j Phone number (-)6 L1I 0 4 1 Opening d e JD Da hours of opl�ration (y ►A Business owner's name v, g 1 C l C p hone `Ttn 0 12.2- Business owner's address 0 t Ms Y Pk wR Brief description of business AC( vui k)( t) 4 1 C (A tidA WITHIN P.A.? V Zoning C i5( 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 bathrooms, electrical heating /cooling /ventilation systems, etc) Property owner's name g'rPoj 6i .1 kt/') C 0 U' Contact phone y (a d .el 5 Property owner's address /contact l r it FIRE DEPARTMENT phone 417 4653 Changes to a fire sprinkler system or fire alarm system? Yes No Work planned PBIA (Parking Business Improvement Area E owntown) phone 417 -4623 v Square footage of business i t? i PBIA notified on Is business moving within the PBIA? Yes No I CITY CLERK phone 417 -4634 Second -hand dealer /pawnbroker business? Yes ❑N o 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 FEES Certificate Inspection Parking Business Improvement Area (PBIA) fee charged for Downtown locations Bldg approval by Yes No I/ Fire approval by on City Clerk approval by Permit# V•O on on COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Number of off-streel parking spaces available for employees and customers? 0 (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. PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 -4812 Is site work planned (new or re- located sewer or water seryice, excavation, grading or filling work in City right -of -way new driveway openings site drainage, parking lots do spouts irrigation system backflow devices etc.) Yes No Work planned PUBLIC WORKS WASTEWATER phone 417 -4845 CED approval by on PWW approval by on PWE approval by _5 V on q 3O LO Nc9 Will waste other than domestic household waste, be discharged into the sewer system? Yes No qi If yes, what will be discharged Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department. Inspection 4 -4653 I hereby apply for a Certificate of Occupancy I acknowledge that I have eland this A pplication and state that the information I have supplied is correct to the best of my' knowledge. Incorrect it form ion may result in revocation- of permit. 10 Print Name Sf/bt`Ui LI Signature I T \Forms \Building Division \Certificate of Occupancy Application (2010).doc Please sign up for utility services at the cashiers' counter Page 2 of 2 RECEIVED SEP 2 1 2010 CIf TIFICATE OF OCCUPANCY APPLICATION 0 ppltTq CI o y ELES CHECK ONE. BUSINESS NAM C rLOg G 6 r( Business addre Phone number Business owner's name Business owner's address 0 Work planned CITY OF PORT ANGELES Attn. Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 NEW BUSINESS IN Second -hand dealer /pawnbroker business? Yes ❑�N /o Will there be dancing at this business? Yes No ICY 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 `Atli 1/..1 Y.! 1/1_14 FIRE DEPARTMENT phone 417 -4653 Changes to a fire sprinkler system or fire alarm system? Yes No Work planned PBIA (Parking Business Improvement Area wntown) phone 417 4623 Square footage of business 1 1 Is business moving within the PBIA? Yes No I CITY CLERK phone 417 -4634 Permit# LO 0 (92 FEES Certificate Inspection 00 Parking Business Improvement Area (PBIA) fee charged for Downtown locations P EASE PRINT IN INK P.A.. CHANGE OF OWNERSHIP ONLY MOVING LOCATION FROM 1 Y7 LJk Mailing address )c Li 0 j' (LS w� g 1 Opening d e (!O Dais hours of op ration 1. '►VA y c, k C e Ckl phone I ui4 ,1 k A 3(r Brief description of business Ar l(t l G 6- I`ku l c A i►ni e" yJ WITHIN P.A.? G Zoning C. BUILDING DEPARTMENT phone 417 -4815 Is the business a restaurant or bar that will seat 50 or more people? Yes No V/ PBIA notified Bldg approval bal...- onj¢ -Z9 I 0 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) Property owner's name i4 61 kW i it 0 6 1' O` Contact phone y (o d I b 5 S Property owner's address /contact p Q 4� (tog D A L S (L 1 tt g 5 t l Fire approval by ig,D V on t 2 10 —I Q City Clerk approval by 1 H on C 1 10-1 COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by SR_ on 6 1 -3 0 10 Number of off-streel parking spaces available for employees and customers? 0 (A parking plan may be required.) Signs? (wall- mounted, freestanding projecting awning A -frame etc Signs planned 1.1h o kl ((k6 \k‘ 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 se ice excavation, grading or filling, work in City right -of -way new driveway openings site drainage parking lots do spouts, irrigation system backflow devices etc) Yes No Work planned PUBLIC WORKS WASTEWATER phone 417 4845 Will waste other than domestic household waste be discharged into the sewer syste 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 I hereby apply for a Certificate of Occupancy I acknowledge that I have i d this pplication and state that the information I have supplied is correct to the best of my knowledge. Incorrect it form ion may result in revocation of permit. r r y Signature Date_ /I P to Print Name �J /b�l�t 1\ $LI I T \Forms \Building Division \Certificate of Occupancy Application (2010) doc Page 2 of 2 PWE approval by RV on -36 PWW approval by Yes No 730 820 815 Bii