HomeMy WebLinkAbout330 E 1st St Ste 5 - Building Certificate of Occupancy
330 E 1St St Ste 5
14- 821
CERTIFICATE OF OCCUPANCY
City of Port Angeles - Building Division
This certificate is issued.pursuant to the requirements of Section 111 of the 2012 International Building
Code certifi,ing that atthe time of issuance this structure was in compliance with the various ordinances
of the City regulating:building construction or use for the following:
Business name: Family Healing Center
'* Business address._," 330 E 1St Street Ste 5
Business owner: -1 Diana Velasco
_. §1
Business owner's.address: 536 W 10th Street, Port Angeles, WA 98362
Automatic fire sprinkler system: N/A
Use & occupancy classification. Business
Occupant load: , Per 2012 IBC, Table 1004.1.1
Type of construction:'', '-'1,,,,Y,„, $ ' `' z tl }A
aim Zvi job 12/12/2014
;S'a $dtig' yel l Date
Post on the premises in a conspicuous place'._This certificate shall not be removed except by the Building Official.
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vo 0RT^,yis CERTIFICATE OF OCCUPANCY APPLICATION Permit# 1 _
Cf10111111
001/090.- FEES
CITY OF PORT ANGELES $50 Certificate/Inspecction
Attn: Permit Technician
321 E. Fifth St., Port Angeles, WA 98362 $100 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 P.A.?11 Change of ownership only? ❑ Moving location from within P.A.? ❑ Zoning CO
-
BUSINESS NAME C`K111� -i`(' 111en f
Business address _ 1 . A f-e / • Mailing address . O. Lt._ ct
Phone number a140_ 24 LQ)- Opening date - -1 t4 Days & hours of operation ' 'DO- ?:'
Business owner's name c V \p �( (_C) Contact phone c- LQ1) - toi- c0-'O --
Business owner's address 6-3 6 t� - 47M alQ �—
Brief description of business Cl,. S•P`►n��
Property owner's name _ :oil 1PW• 0 Contact phone
Property owner's address/contact " • t.•1 ► ,►. . Uf 2-
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 Nt4
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 ❑ No4
Work planned:
PBIA (Parking Business Improvement Area -Downtown) phone 417-4623
Square footage of business? I ODD 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 ❑ No
Will there be dancing at this business?Yes ❑ No-4
A City of Port Angeles Business License is required for:
Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance,
Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses.
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COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on >;l7/!' 1
Number of off-streeep king spaces available for employees and
customers? ��r)
(A parking plan may be required.)
Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?)
Signs planned:
-
;� e k v C O 3r boYDs
•
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 lots, downspouts,
irrigation system backflow devices, etc.). Yes ❑ No1-
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.
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/_I i--1 LI, Print Name 1�
10,11(t l Signatur- ` _ � ,ANH • 6
T\Forms\Building Division\Certificate of Occupancy Application(2010).doc
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