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Home My WebLink About1607 E Front St B - Building ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 11 00000478 Date 5/18/11 Application pin number 637838 Property Address 1607 E FRONT ST B REPORT SALES TAX ASSESSOR PARCEL NUMBER 06 30 00 1 0 2740 0000 Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Application desc 1 circuit for lighting change Owner Contractor LADD FAMILY LMTD LIABILITY CO EXTRA MILE TECH F. ELECT LLC 3620 100TH ST SW #A 418 N RACE ST PO BOX 98922 PORT ANGELES WA 98362 LAKEWOOD WA 98498 ( 60) 457 0198 Permit ELECTRICAL ALTER COMMERCIAL •� Additional desc Permit pin number 185884 O Permit Fee 73 50 Plan Check Fee 00 Issue Date 5/18/11 Valuation 0 Expiration Date 11/14/11 Qty Unit Charge Per Extension � 1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50 1 ` Fee summary Charged Paid Credited Due Permit Fee Total 73 50 73 50 00 00 Plan Check Total 00 00 00 00 Grand Total 73 50 73 50 00 00 C+ .r✓1 o 0 h)Wz__ +-'LV 1 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL COMMENTS ?J d PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date• G\EXCHANGE\BUILDING �Y ' °Fp°AT� ELECTRICAL INSPECTION uN WIRING REPORT Glis"motilmE F 417-4735 DATE: PERMIT# INSPECTOR 1 !/—C �� OWNER ),AN>v / S CONTRACTOR IE `t'2A Off,l ADDRESS -7 6 J APPROVED NOT APPROVED ❑ DITCH ❑ ❑ ROUGH IN/COVER ❑ SERVICE ❑ ❑ FINAL ❑ CORRECTIONS NEEDED- -r/WT U V_VF_ #,�D U�PD "ls t�� + C-A F3 L'- 'To G� 5�� v►2 C��-- 11-1 17-11 ►�I I�� `319 H NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — MAY-16-2011 04 23 PM E JANSSEN 360 452 2982 P 01 ECEVD CITY Or, PORT ANGELES.PI Rm APPLICATION MAY 17 2011 r Building Division/tliectricai inspectiours .321 East Fifth Street—P.O. Box 1.150/Port Angeles Washington,98362r � . ELECTRICAL Ph-(360)417.4735 Fnx: (360)41"-4711 INSPECTIONS � Date: a� / (o 11 1 8 2 Single Family Dwelling MUlti-Family or Commercial' COmmerriai Addition/Alteration!Remodel/Repair' 'Plan Review May Be Required, Please COm lets Electrical Plan Review Information Sheet Job AddMds:-- !� LG_ c i r autlding Square Footage:_ __ c_�• -7 ( I.)-- - Desc4ptlon of above �•'1�—` Ld�idllLl+,jiZd Owner Informations w f.. 1 ! {? I -� ______ ._..-_ _— .__.- _-_--• -- Name•. nn o ` Contractor Information MS11INAddress: 1 r_< <� ��, �! Nemo: ExTA'1r rvlr(_E %Ecce0, eU;r Cr2rC_r•i•L c' .k , --:- Maifin_Address:_ 0 J`'�'�Ca.. SLG -s r r7.-1+ Stam: .! _�:p `1SZJ`.Ly Zlp:�g i 6 i —J� State:�•rr Phone:•/S 7TS�a� License#IExp_r' 177 ,P:C_ _ am Service/Feeder 200 Amp. $119.90 .Q( Total L9hC Multiplied by Unit Ctlsrtie� Servic eVFeeder 201-400 Amp. $145.50 -- ServWFeeder 401-600 Amp $204.60Service/Feeder 601.1000 Amp. $262.20 _— Servico/Feeder over 1000 Amp, $372.50 --- Branch Circuit WI Service Feeder $ 2.60 -- Branch Circuit W/0 Service Feeder $ 73,.50 - $- Each Additional Branch Circuit 3 2,60 `� $--Z.2 S"0 Tornp.Service/Feeder 200 Amp, $ 92.70 -`- $-- Temp.Servloe/Feeder 201400 Amp. $'110.30 — Temp.So*e/Feeder 401.600 Amp. $146.70 -- Temp•Servloe/Feeder 601-1000 Amp S 167 90 — -- $— — Portal In Portal Hourly S 95.9n - $_ SIgrMitllne Ughfing $ 80,20 --` S — Signal Circuit/Limited Energy/First 1500 sl Commemb.;i S, q.5.90 --' $ -- — Nota: $5.00 for earh additional 1500 s' — - $-- .— Signal Clltuil/Umlted Energy 1&2 Familv Dwelling $ 63.90 _ Signal CircuiU Limned Energy Multi-Famliy,)welling $ 63.90 - hUnufaMured Home Connection $119.90 t- Renewable Electrical Energy 5KVA Sysiern or 1.13IS9 S 102.30 -- Thermostat $ 56.00 " $ --� Flrat 1300 Square FL $110.30 Each Additional 500 Square Ft.or Portior,0 $ 35.20Each Outbuilding or Detached Garage S 73.50 $ -Each Swimming Pool or Hot'rub $-7-L S"!_Total 70 Owner as defined by RCW.19,28.261 (1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for Sale,rent or lease.Permit expires after six months of last inspection. Afler reading the above statement,I hereby certify that i am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws,N.E.0 RCW Chapter 19.28. WAC Chapter 296.466 The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14 05.050 regarding Electrical Permit Aoolicalions 810rtature of owner electrical contractor or electrical administrator 17 Galin U L7 Credltcerdo _ --115 -- 0,,*°°RT4p,, ELECTRICAL INSPECTION u'kN «_ y WIRING REPORT ��OwpR-s�y� 417-4735 DATE. PERMIT# INSPECTO V i'Z OWNER -,A A v �L CONTRACTOR ADDRESS APPROVED NOT APPROVED ❑ DITCH ❑ ❑ ROUGH IN/COVER ❑ ❑ SERVICE ❑ ❑ FINAL ❑ CORRECTIONS NEEDED- KLA—c f, (Z tt-P L- Front St.Ste.B. 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Edit, Commaritls List;;Help' SUNCAFW PUBLIC SECTOR NaviLine Display by Address 7s'fx"?'='�.-.2,"i9 ' Numk+er' Direction.=�'N'ame'"-�`�'•� '� -'��r• ;�"^`��?"'�*�`': �<�.:�-.-Stiffiit _ �,,3�":�-� �f?7��-°Y,`.�e:,.�..0:- :•_G.a4-�9r.' v Z, i�:Fa.`.r, '��i ;.r_., .,�.�•�, le%?..'••.d�.s`1i, 1607 E ►��: FRONT # ST ►` _q �:�; .,ziryw .r?- i'POstdirection •'Pte' * TME ` _CITY.'',-r' 3 �� 1(' -qualifleri :Post:qualiflerr�,A"artinent {•' %.; .k''�t�l �;i'.5, �'.�4"'4'E:P'a. s�?':s"�_n�`-�'X4�:.'w'�,.,'�g_"' 'f":«+�.-':� "��:m s�.*cY'a:�.ti�..P. ;fir }E°i+".T y�'.,^=x'^.-s�`'"aae' ��- .�?=.��w;,-`.�� i'mr -- �na-r'�"""" ^�'i��' �^+;�p-^. tea•+.. r, '•-�' �,�•..; GoTo"9 .��:3 �.Srt,:�z �.•a..,ei�.s�':�,.: iuz' t"a.ie::Edi ';�'.,t.t,.31-' :n.,".=G.a.al.v,L:,��.....:.� •Address Loration ID Steitus - 1607.'E":FRONT ST; 153280' L I j�* IiLP60.7:;EjFAONT;5T B?_ _' `_.. = X1'53052-_= � Ij•JIL'_607_E.FRONT_ST_C__ i-A_,�-'-_,-_�'�_ _.—'.'`—.-_ -153122_ —Ji __'(1:607;E;,FRONT;!ST_D * 611 E FRONT ST___-_- —_ _ __ - 151456= 153050 �11617 E FRONT ST - _ _ —_ 151452— '' �11.700'.E FA_ONT_ST' --- _-- _—_— — — - _153528 ^' x Exit. - {iM j1706 E FRONT ST — 98704 �• d Cancel ri-k=1,j_ _-_ .----------' -.=—:__. 1-5_6634 �5J Yes Refresh Switch view. ..•kms:.::_--;�.•-.g:e':t;, AcOvebactive. Subset: OwneMocat. - MN N U N � Vs-4 Ve- (ora 4--V� q8 �� Z /v d �QL'i � EEIVED MAY022011 c Op PORT ANGELES BUILDING DIVISION VI 5ae e L Is Bout �S �a LO � P aO �z� G fA 15A 1;" CERTI F,IC-�A- TE. DF, OC,.CUPANCY City-of'Port AngOes NBMildinlg,_Division This certificate is issued pursuant to the requirements"6fSection JIT6f the 1009 International Building Code certifying that arthe',finie',cfi -issuance this structure was in compliance with the various ordinances of the City regulating,' uildi �hAi�-wqefiq folloi4�i ' qk,,- use r the. , Business name `�V,,J,,*,,S`a;'Vb Bodfiq,L�0� -,,(OWhe��',"D��,-.vid,JeW&11)- -Al Business address 'TGOTE Front.St,#B Property owner . Ladd a Property owner sg'add)-`eiS, 3620 1 00Pst SWW�' -BOX L; k6wood WA 98498 Automatic fire spFUnkler system. NoVR,'e'q'u'ire"d- Use & occupancy classification Mercantile Building permit number 11-122 A Occupant load PI&K-20,09'"MC42T Type of construction. W 03/28/11 144- r Date Post on the premises in a conspicuous place', 4all4f6t be removed except by the Building,Official. WIT- To Roj �er pyo,poRT.4 CERTIFICATE OF OCCUPANCYAPPLICATIONI, Permit# gr CITY OF PORT ANGELES FEES w r__L.—.�III� Attn. Permit Technician $ Certificate/Inspection Rww321 E. Fifth St. Port Angeles, WA 98362 $ Parking Business Improvement Area (PBIA) (360)417-4815 fax(360)417-4711 fee charged for Downtown locations PLEASE PRINT IN INK Check one:New business in VP.Ai0°.?❑ Change of ownership only?'Moving location from within P.A.? El Zoning�- IEUVi�!ESS DAME \(i SA l�yu�l/�� EusineEs address I607 r frDurT 57-/ ''8 Mailing address 54'-frLe- Phonenumber 3&0-1-457 -7oL7o Opening date 0i /0.73ll Days&hours of operation 14—S H- 7 7 Business owner's name 'r�c,\1;d Jewe.d _ Contact phone 360 c,"w -z,3-zz , Business owner's address_ q zI S Trr I/-- View D--. 1--3vr4 �. 34,-57 Brief description of business gc/s /;kIyu- �lle��+ 7 Property owner's name LakxlFa ,�� LLC Contact phone Property owner's address/contact 3Zd I06t"i' s , sv,,r -*I}.,Po zot `59 ZZ, Lake-wond Wn 48�I9� 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 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 417-4663 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?.4,,,,r• 0000 1-7 notified on Is business moving within the PBIA? Yes ❑ No)( CITYCLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business?Yes ❑ No Y Will there be dancing at this business?Yes ❑ No W 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 ti 3 7 COMMUNITY&ECONOMIC DEVELOPMENT phone 417-4750 CED approval by________on Number of off-street parking spaces available for employees and customers?Rtrl_uo Fr -o 41 Shared (A parking plan may be required.) `R& 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 by^,;iz_on 2—2-'Z— PUBLIC ZZ—PUBLIC WORKS DEPARTMENT ENGINEERING phone 417-4812 A10 C.b4,y at,— 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 g' 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 ❑ No If yes,what will be discharged. Call for Certificate ofOccupancy inspections BEFORE openinq 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 Clccupanoy 1 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. / I Date LA 3;2,011 Print Name��Vip� yJgA, 1/` Signat TVortns'Building Division\Cenificate of Occupancy Application(2010).doc Page 2of2 l S' 1 ' r t CERTIFICATE OF OCCUPANCYAPPLICATION Permit# FEES CITY OF PORT ANGELES Certificate/Inspection Attn. Permit Technician 321 E. Fifth St. Port Angeles,WA 98362 $ Parking Business Improvement Area (PBIA) (360)417-4815 fax(360)417-4711 fee charged for Downtown locations =ownersh�ipp NK Check one:New bus�inness in P.A.? Cving location from within P.A.? ❑ Zoning�- BUSINESS NAMc Y SA f 1 i4 — Business address_ 1Coo7 h�- Frogyr STr 013 Mailing address Same Phone number 3W)-1-157 -7000 Opening date o /03/11 Days&hours of operation M-5 U- 7 Business owner's name Z>ay;d Jewell Contact phone '3100 (P-To Z32z Business owner's address512 STi' �� 98 (� Brief description of business s C& u Property owner's name La( LLC _ Contact phone Property owner's address/contact 36 20 ivo s s -WA 11Do; x'89 2Z Laker a6X. WA BUILDING DEPARTMENT phone 417-4815 Bldg approval by nja,.j 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: FIRE DEPARTMENT phone 417-4653 Fire approval bye_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?4,, 200th PB/Anotified on Is business moving within the PBIA? Yes ❑ No) 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 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 C� COMMUNITY&ECONOMIC DEVELOPMENT phone 417-4750 CED approval by_.*�on 21-24-11 Number of off-street parking spaces available for employees and customers?''i�itr/ct�F6t- r.�-t1� J�o L_p!fz T/_S kat-e6((A parking plan may be required.) Signs?(wall-mounted,freestanding, projecting, awning,A-frame, etc?) Signs planned: 1n1�ll it's SkiQ al�F&Sri'AJr. T;re�5Ta„�l(I,K.Da S«w PLEASE NOTE. NO flashing, intermittent,or chasing signs are permitted in the City of Port Angeles. �_ PUBLIC WORKS DEPARTMENT ENGINEERING phone 417-4812 PWE approval by on 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 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 If yes,what will be discharged: Call for Certificate of Occupancy inspections BEFORE openinq 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 FA .3;ZDII print Name / ctV iGII Signat TAFonnslBuilding Division\Certificate of Occupancy Application(2010).doc Page 2 of 2 } 90LL pts a ££9L J4 �cl t r sass f °may Lost LMlL ! F q g� t fffffJj f ' f+ {� 909E d � jd £09L `a s � 1 J CE RTI F,,ICATE�O�F =O U PAlV CY *� . Cit,of`Port Angeles:.="B:uilding D"Imision Y " , This certificate is issuedpursuant to the requiremenis4 of Section 11;1'of the 2009 International Building , • 1, Code certifying that at,,thetimeiofissuance this structure was in compliance with the various ordinances of the City regulating blding consir�ucti6n orruse for the followin` ' g• Business name �r `. 'ln, Ui,sa�Ve Boutique (®wne`r• Kevin�Pedrey)� 'k ? Business address, ' ,16.074E FrontS,,'t �#B Property owner Ladd FarnilyLmtdLbility'.C'o { Property owner ad res's 3620 100Jr 'Sf=SW;,#A;.PO'Box:9$922;.eLak wood WA 98498 Automatispill i •;�.J �� ..j .�. ��'"' � _� • c fire spznkler.system. Not Required -' Use &occupancy 14 s-fKication. Mercantile wig ;' Building permit number 1, 10-1; -67:,,,,144 — —,* Occupant load. fi Type of construction. U, 01/20/11 3 ue er, Date Post on the premises in a conspicuous p %47..„Iihis cet ifcat ..sbail ii't be removed except by the Building Official. V-N tP PREPARED 12/30/10 8 27 52 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/30/10 ADDRESS 1607 E FRONT ST B SUBDIV TENANT NBR VI SA VE BOUTIQUE CONTRACTOR PHONE OWNER LADD FAMILY LMTD LIABILITY CO PHONE PARCEL 06 30 00 1 0 2740 0000 APPL NUMBER 10 00001507 CO- CHANGE OF OCCP/USE PERMIT CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS CO99 01 12/30/10 L BLDG C/0 FINAL TIME O1 00 OVERRIDE TAKEN BY LPANGRLE DATE 12/30/10 TIME 08 21 40 December 30 2010 8 20 24 AM 1pangrle DAWN 457 7000 C OF O FINAL VI SA VE BOUTIQUE AFTERNOON COMMENTS AND NOTES fo Re) �cr �.saar�;4�F CERTIFICATE OF 0 CCUPA NC Y A PPLICA TION Permit# 16— FEES CITY OF PORT ANGELES $Z cate / Inspection Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 Business Improvement Area (PBIA) (360)417-4815 fax (360)417-4711 rged for Downtown locations PLEASE PRINT IN INK Check one: New business in P.A:4 Change of ownership only? ❑ Moving location from within P.A.? ❑ Zoning BUSINESS NAME Ali SQ c4-h q,--K-t-� Business address 1 U W? E-Frbij F Mailing address SA A-t, Phone numberSLeD ql,7, '/aov Opening date I i Days & hours of operation W-S /D-Le Business owner's name iK>°Uln Contact phone-5bD-i(UcQ 07? Business owner's address �(o a �-(]C�� 1evU�l-'I�t� r��y� VIn�P ds wH Gj ECIn_ Brief description of business D S i I) Property owner's name L Gtdd F VO-M i LH L m+d, Lt Abi�Contact phone Property owner's address/contact 3 2 oo*i, S SW #fl 0 Box; 91 597,2 L a int 21 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 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? PBIA notified on Is business moving within the PBIA? Yes ❑ No CITY CLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business? Yes ❑ o Will there be dancing at this business? Yes ❑ N 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 on fi Number of off-street parking spaces available for employ es n customers? _. � a� (A parking plan may be re 4 ired.) Signs? (wall-mounted freestanding projecting awning A-frame etc?) Signs planned. will re-SKih cwl max' s+ ' n PLEASE NOTE. NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by LT !C WORKS /l EI/AR7711 111T ,111(_`111 ICCCIRI^ PF-c— A47 •Oqn 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' down spouts, irrigation system backflow devices etc.) Yes El No 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 ❑ 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 1 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 Incorr mation may result in revocation of permit. 0P6VdbC)P5 V'ilav►4�Ce1^ Date* 0 Print Name � (,(� ��C�i!�� Signature T,TormsTuilding Division\Certificate of Occupancy Application(2010).doc Page 2 of 2 Y—pORTaCERTIFICATE OF OCCUPANCY APPLICATION Permit# o- � 50—I $' CITY OF PORT ANGELES FEES tom z:M $Ze cate /Inspection Attn Permit Technician �r 321 E. Fifth St. Port Angeles WA 98362 Business Improvement Area (PBIA) (360)417-4815 fax (360) 417-4711 rged for Downtown locations PLEASE PRINT IN INK Check one- New business in P.A:4 Change of ownership only? ❑ Moving location from within P.A.? ❑ Zoning BUSINESS NAME—Vi a j> Business address I U o1( r FYnnf �jRU Mailing address Sa rn_t, Phone number 34D. qS-7. '?oo(D Opening date / l Days & hours of operation M—S ID-t-p Business owner's name re in �(jy�e_v Contact phone_5bD-Lke0 07? Business owner's address y oa 5-T,�Lt 0 ZtN�! 'I kt J9�y� W H-Q 2 Brief description of business D S U.) Property owner's name L 0.dd �yn i �� L.Yyt+d, L1 ab; Contact phone Property owner's address/contact 3 -W, S 5 gfl po Box 9 8922 L a W BUILDING DEPARTMENT phone 417-4815 Bldg approval by on -30--1 Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No y 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? PBIA notified ><lon Is business moving within the PBIA? Yes ❑ No CITY CLERK phone 417-4634 City Clerk approval by_s_�on Second-hand dealer/pawnbroker business? Yes ❑All o Will there be dancing at this business? Yes ❑ N 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 on 1 Number of off-stree parking spaces ava'lable for employ esAnd customers? �� (A parking plan may be re fired.) Signs? (wall-mounted, freestanding projecting awning A-frame etc?) Signs planned: W, I II re-sKih stn E x I S41,V1 7EY-y e s n PLEASE NOTE. NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles PWE approval by KV on 1-5 111 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 drivewayopenings site drainage parking lots down pouts irrigation system backflow devices etc.) Yes ❑ No LTJ 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 ❑ No�1 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 t 1 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 Il7corr mation may result in revocation of permit. �oPe�}-i�=YDS f(lah4�e1^ _ Date4/ (] Print Name (,(� (,C)V�i�� Signature T'\Forms\Building Division\Certificate of Occupancy Application(2010).doc Page 2 of 2 •sg7� T to R✓ `� �"� r S tf. •} .r aI""�, �.vt MOO I y� -1601 i 1605, , ��. '" . _ �`3 Y . fir�� w��• 1 101/7/ '�; ~�� -�' 4;1 � �� '� �vsM,%✓K `�:..- _� S .K, �' #5� ��irt+ 4C-:T�a"s i' • ."`�_ � � .fir �� -�:� 4 � �' -=`,.`+=-?a g, ;h":. `� f` ma',�� „if? :t �"�•_� '�''�4 �4.' "S§:'-. �°W«f }'mf y rnR' k xd. 441 }}t _ ry^5^s � � s -gig.»,•..:mss R -'§`-.�Lt- '� V ��'"..J" .�` ,'G"it it.,w� - �h�-fr�(`��,'Y �..t, a � Mta� � .t�M1'.9`^• i;j^' 1603 K b ._• 1�.e ,�'Ji £Yi '•;. � '�. a •,tf;.� ,ay, 1�; �,,.�p � -_� . ,'Er►iiisCcito_ff%Rd" ill 41, 1766,� 1633- �� - ,��t",�«� +'&`•`°• xa'` S�z,"'K' "nes rte S��lct.t �^ � c.... ''.