HomeMy WebLinkAbout110 N. Laurel Street Address:
110 N Laurel Street
CE TIFX TE �O %0 U A C
Cityofi Port Angeles - BuilcBing division
This certificate is assuedx irsuant to the requirements of Section 111 of the 2009 International Building
Code certifying that at the tame:;of issuance this structure was in compliance with the various ordinances
of the City regulatinibiialdang const,ktaon or use for the following ,
Business name:
♦ x s`t i` ,mom•-�'°"`R"" ,: '+`. •'r^","` x. x
e Business address "110 NpLaurelStreet `
Business owner: a Hart
Business owner'sdaddress 814 W 7 Street PortAngele�s;� WA 98363
Automatic fare sprinkler system: N/A
Use &occupancy classification: Business_
Occupant load: A 'Per20.12 IBC, Table-1004 .1:.:1
Type of construction: -B
7 - � A " � ' 10/28/2013
SaeR6l?erds,;P1anni ManageY Date
Post on the premises in a conspicuous place. Thiscerti icate,shall-not be removed except by the Building Official.
r
o ?OaT,+VV7, CERTIFICATE OF OCCUPANCY APPLICATION Permit# I 4-I
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.? ❑ Zoning
BUSINESS NAME__ �1/J o>C
Business address i i C) , ✓-'I✓ Mailing address
Phone number0(0'�I�io"?-iS15�i Opening date MI01 JUvQ- Days & hours of operation M-5A II -(o SUI -N
Business owner's name tA• +4-A v4- Contact phone
Business owner's address 319 ' •3`4- + f22�4 e(eS -A • 99 3(3
Brief description of business
Property owner's name �ftLV,-2. NILc. Ie Contact phone q(p0- 5(10311
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:
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 ❑ 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?
(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 ❑ Nom
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 OccupancV 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 6*1 3'1 3 Print Name�an 66-� Signature
T:\Forms\Building Division\Certificate of Occupancy Application(2010).doc
Page 2 of 2
l-
Patrick Bartholick
From: Patrick Bartholick
Sent: Wednesday, March 27, 2013 12:40 PM
To: Dan McKeen; Dave Chastain; David Freed; Edith Parker; Eric Walrath; Janessa Hurd; Jeff
Young; Jonathan Boehme; Ken Dubuc; Ken Loghry; Nathan West; Rick Hostetler; Roger
Vess; Ron Becker; Tracy Rooks
Subject: CofO Routing
Please review the following application and enter the result in hte.
1. Moxie Permit#13-241
110 N Laurel Street
Clothing Boutique
G:\EXCHANGE\Building Routings\CofO Moxie, clothing boutique.pdf
2. Kula Yoga Permit#13-267
316 W 15t Street#1
G:\EXCHANGE\Building Routings\CofO Kula Yoga.pdf
3. Tall Timber Tattoo Co Permit#13-269
127 E 15t Street#4W
G:\EXCHANGE\Building Routings\CofO Tall Timber Tattoo Co.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
pbarthol(@cityofpa.us
1
���Rr CERTIFICA TE OF OCCUPANCY APPLICATION Permit# 13
FEES
CITY OF PORT ANGELES
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.?VChan-e ofownership only? ❑ Moving location from within P.A,? ❑ Zoning 68 6J
BUSINESS NAME !1/IOXI-C
Business address f I O (y. ,Z�,Ii ✓�I S- Mailing address 21 >1 KI 3fn `-r• 69 9S-2,&
Phone number ; � S'i Opening date MIDI jiank Days & hours of operation IV)-SA II -(o SU I -N
Business owner's name d-eg_ +4-A.kl- Contact phone
Business owner's address I -f �9-ne �l�S �} • $3�3
Brief description of business
Property owner's name_1Contact phone 'Aoo- 5(,03J
Property owner's address/contact
BUILDING DEPARTMENT phone 417-4815 ^Idg approval by on
Is the business a restaurant or bar that will SE �'F> )s ❑ No ❑
Construction changes planned (moving walls. �4
?ors, roofing, siding, foundation work,
adding/altering stairways, ramps, bathrooms, �J�ri�- ation systems, etc).
Work planned:
?L0 o
jr
FIRE DEPARTMENT phone 417-4653 e approval by on
Changes to a fire sprinkler system or fire alarn. I cb a No iJ
Work planned:
PBIA (Parking Business Improvement Area -Downtown) phone 417-4623
Square footage of business? PBIA notiFed 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 ❑
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 1of2