HomeMy WebLinkAbout104 N. Laurel Street Address:
104 N Laurel Street STE 116
Y
CERTIFICATE OF OCCUPANCY
City of Port Angeles Building Division
This certificate is issued"pursuant to the requirements of Section ]]] of the 20.09 International Building
Code certifying that at the,tame;of issuance this structure was in compliance with the various ordinances
of the City regitlating�btiilding constrtiction or use for the follow
Business name: l Arts Mttwest ",- , 4
Business address: 104 N Laure[Street,,S
� Business owner: �--%Karen Hanan
Business owner's>address / P O Box 1354 Port�Angeles,�,WA.98362 i 4
Automaticfare sprtnklersystem: N/A _ ' F-"- •- �- �
Use &occupancy classification: Business
Occupant load: Per'2009 IBC, Ta6ie:1004.1.1 r
Type of construction.'
4/12/2013
Sue Roberds; inning Manager Date
Post on the premises in a conspicuous place. This cert►ficate,shall not be removed except by the Building Official.
l
®~ —<5 �O
'0;.�okrq . CERTIFICATE OF OCCUPANCY APPLICATION Permit# B-200
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FEES
CITY OF PORT ANGELES
== $50 Certificate / Inspection
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 M INK
Check one: New business in P.A.?❑ Change of ownership only? ❑ Moving location from within P.A.? ❑ Zoning
BUSINESS NAME (l"S 1+L.5 L's T_
Business address 1 0 4 N, L�9 v 2�L, 5TH l l( Mailing address�o 0. ,s� 13 S;_4Phone number 3 6 o 4-5 'i 290 Opening date2j12_Fji'3 Days & hours of operation -1 —S
Business owner's name Kj+A F_N 1+,q rl A fJ Contact phone 1 E 9'L`1 Q
Business owner's address P,3 0 3 U P Z
Brief description of business /� ' I (Z-m_l N S (Z�I� DIZ�
Property owner's name Contact phone 46o 3 I
Property owner's address/contact Po MITI L-1L-1-t-'7
BUILDING DEPARTMENT phone 417-4815 Bldg approval bylits 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 ❑ Nol
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 VNo ❑
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 ❑
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
Number of off-street parking spaces available for employees and
customers? --r!7—
(A parking plan may be required.)
Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?)
Signs planned: 1 n ' N
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
FIs bite Orknned (new 're-located sewer or water service,
�ezcava'tion riding or fill'ingwork 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 PWW approval by on
Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ Nov
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 2� �� PrintName N Signature
T:\Forms\Building DivisionTer ificate of Occupancy Application(2010).doc
Page 2 of 2
CERTIFICATE OF OCCUPANCY APPLICATION Permit#
CITY OF PORT ANGELES FEES
Attn: Permit Technician $50 Certificate / Inspection
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.?❑ Change of ownership only? ❑ Moving location from within P.A.? El Zoning
BUSINESS NAME (�"(Z I S IW�'r I I L S T-
Business address N,, Ll v 57F I(( Mailing address PJ 13 ,:;� 13S-4
Phone number 60 X5-7 cl ZyO Opening date '4 Days & hours of operation 1 —S
Business owner's name K14-I57-N 1+L9 rJ fl rJ Contact phone
Business owner's address it P-,-) 1 j o),C 3 S u PA- -7�- S (.2
Brief description of business t� Z�=y(Z j i t N S f j?�I` O/L�
Property owner's name_ r - - t��' Contact phone �3 1
Property owner's address/contact l}o 2 ?,5
BUILDING DEPARTMENT phone 4174815 Bldg approval by on
Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No lam'
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? FPBIA notified on
Is business moving within the PBIA? Yes VNo ❑
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 ❑
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
. a
COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on
Number of off-street parking spaces available for employees and
customers? �T-
(A parking plan may be required.)
Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?)
Signs planned:
tiv N�
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 ❑ 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 openin-q 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. Incorrect information may result in revocation of
permit. i
Date d 2�1 �� Print Name Kz ILE N !� Signature
TAFormsTuilding Division\Certificate of Occupancy Application(2010).doc
Page 2 of 2
Patrick Bartholick
From: Patrick Bartholick
Sent: Tuesday, March 05, 2013 9:56 AM
To: Dan McKeen; Dave Chastain; Edith Parker; Eric Walrath; Janessa Hurd; Jeff Young;
Jonathan Boehme; Ken Dubuc; Nathan West; Rick Hostetler; Roger Vess; Ron Becker; Tracy
Rooks
Subject: CofO Routings
Please review the following CofO applications and enter your results in HTE.
Holiday Lodge LLC (Previously the Chinook Motel)
G:\EXCHANGE\Building Routings\CofO Holiday Lodge LLC.pdf
Crossfit Thunder Ridge LLC
G:\EXCHANGE\Building Routings\CofO Crossfit Thunder Ridge LLC.pdf
My Choices
G:\EXCHANGE\Building Routings\CofO My Choices.pdf
J&L Discounts
G:\EXCHANGE\Building Routings\CofO J&L Discounts.pdf
Arts Northwest
G:\EXCHANGE\Building Routings\CofO Arts Northwest.pdf
Pat Bartholick
Code Compliance Officer
321 E 5th Street
P.O.Box 1150
Port Angeles,WA 98362
Office: 360-417-4712
Fax: 360-417-4711
pbartholPcityofpa.us
1
PREPARED 3/22/13, 13:08:52 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/22/13
------------------------------------------------------------------------------------------------
ADDRESS . : 104 N LAUREL ST 116 SUBDIV:
CONTRACTOR : PHONE :
OWNER DIANE MARKLEY PHONE : (360) 457-5678
PARCEL 06-30-00-0-0-1569-0000-
APPL NUMBER: 13-00000200 CO- CHANGE OF OCCP/USE -
---------------------- -------------------------------- ------------------------
PERMIT= CO 00 CHANGE OF OCCUP/USE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
0099 O1 BLDG FINAL
* OVERRIDE TAKEN BY PBARTHOL DATE: 03/22/13 TIME: 11:01:48
March 22, 2013 11:03:03 AM pbarthol.
Jane 457-9290
-------------------------------------- COMMENTS AND NOTES
s
Address:
104 N Laurel Street #114
CERTIF.I�C 4� ���E°SOF _OCCUPANCY
City of Port Angelest Building Division
This certificate is issuedpursuant to the requirements of Section Ill of the 2012 International Building
Code certifying that aothe time of issuance this structure was in compliance with the various ordinances
of the City regulating building construct of n o fuse for the follow g
Business name: Familitentoered
Business address,$ , 1E04 N Laurel`Street#114
Business owner: 1 ey Soelterx a
Business owner`Aaddress Po Box 2430sP rrt,!A, Ies;WA 98362 ��
st: ��,..
Automatic fire spr`inkl'er system: N/A- �
Use & occupancy classifcation: BusinessRR fl F
Occupant load: Per 201.2 IBC, Table 1004 1 1
Type of construction
12-05-2014
SueRoberdsPla Hing Manager Date
Post on the premises in a conspicuous place. This,certific _n1hall not be removed except by the Building Official.
� 1
0
� CERTIFICATE OF OCCUPANCY APPLICATION Permit#
CITY OF PORT ANGELES FEES
$— "— V Attn: Permit Technician $50 Certificate/Inspection
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.?❑ Change of ownership only? ❑ Moving location from within P.A.? ❑ Zoning
BUSINESS NAMES t-arhilt� CeVn�re-6 ftccfi.ce,
Business address- 1(34 0, Lu., ei St. i� 114 Mailing address Y 0, fbN Q WK)
Phone number 3�Q - 4 to( - 3Opening date OCi- l5,ZO'bays &hours of operation WtWle Kf
Business owner's name Contact phone 31CU - q10 l 3
Business owner's address tot t eiLaXa- Mau , rA
Brief description of business C LLh:C� * py-ac+)'c'-_
Property owner's namel�ia t'� rnGLf^�(ec�.) Contact phone Lhoo -e639
Property owner's address/contact
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: Q0Q.
FIRE DEPARTMENT phone 417-4653 Fire approval by on
Changes to a fire sprinkler system or fire alarm system? Yes ❑ No)U
Work planned:
PBIA (Parking Business Improvement Area -Downtown) phone 417-4623
Square footage of business? +Ob [P�Otilied_ 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 ❑ NoV
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
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:
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 PWW approval by on
Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ Now
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.
Datei0 3 Print Name '0an-em7oe4w Signature
T:\Forms\Building Division\Certificate of Occupancy Application(2010).doc
Page 2 of 2