HomeMy WebLinkAbout130 S Lincoln Street Address:
130 S Lincoln Street
CERTIFICATE CCU AN CY
City "di,Port Angeles - Building Division
This certificate is issued�pursuant to the requirements of Section 111 of the 2012 International Building
Code certifying that atthe time_ofissuance this structure was in compliance with the various ordinances
of the City regulating building construction or use for the following \
Business name. The Lazy Moon Craft Tavern
Business address., 130'S,�L`incoln�Stret ,..
Business owner: Janet Robison w
Business owner'siddress 385 Stait View Dr Port Angeles, WA 98362
Automatic fire sprinkler=system: N/A
Use &occupancy�h� ifi ation: Business 1 ,J
Occupant load: Per 2012 IBC, Table 1004 1 1
Type of construction ,� � �
't�"g.�'
12/12/2014
U11 Plan ingl ria er Date
Post on the premises in a conspicuous placeThis,certificate S 11 on t be removed except by the Building Official.
pORl,gV,, CERTIFICATE OF OCCUPANCY APPLICATION Permit#!��� y �`
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
INT IN INK
Check one: New business in P.A. Change ofownership only? Moving location from within P.A.? ❑ Zoning
BUSINESS NAMEo S i�1 -LC, db �!�ne L..c i /ioC^ . � V R
Business address Imo S. L��e_0lv\ St MailingAddress-25 395—Sfp-�jj (Jigco P4F PR ��A �v �
Phone number 5 3-a'9 d.) Opening date 4 -`1 -1`'I Days & hours of operation &Lo6 P -a Ca-, -ev�ry
Business owner's name J Contact phone x(77-S5c�1
Business owner's address tSS- fr-ct'r+- Ut4.w- t tZ Pr fi t-ea WA b
Brief description of businesse r �1 i hQ T ver,fJ
Property owner's name Gm Lc4o r t d (Lk ru�t Contact phone 7-131Y14
Property owner's address/contact SLo Dov L jjj c P o i3an —oll Pnn J (��Pet vVfi Q�3 6-a-
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: t,.)o y,_9_
FIRE DEPARTMENT phone 417-4653 Fire approval by on
Changes to a fire sprinkler system or fire alarm system? Yes ❑ No-}
Work planned:
�0o ti E,
PBIA (Parking Business Improvement Area-Downtown) phone 4174623
Square footage of business? a YOU 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 V�
Will there be dancing at this business?Yes ❑ No4
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
Number of off-street parking spaces available for employees and
customers? t�t�k►to��v�
(A parking plan may be required.)
Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?)
Signs planned:
:IJ o 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'9
Work planned: iJortj4,
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 7l
If yes, what will be discharged: N
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 is revocation of
permit.
Date/ Print Name �� j S ?� Signature
T:\Forms\Building Division%Certificate of Occupancy Application(2010).doc
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