HomeMy WebLinkAbout325.5 W. 2nd Street Address:
325 Y2W 2 Street
3a
CERTIFic-AtEOF OCCUPANCY
citoo,i,Port Angeles - Building Div'
�ion
This certificate is issueq?4qyant to the requirements of Section 111 of the 2009 International Building
Code certifying that aKihe time qj issuance this structure was in compliance wN the various ordinances
of the City regulatin uilditigeonstrtictioni5e-tise-fqCthef
Q,1�64ing.-
Business name.- -'Cro-st-fit Thundei—r'ki d- g--e--','L'L: C
525-1/1W 2 d! treet
Business addressf
y i
Business owner: I --Sha,wh Sinskie/Karen,Brown
. 1-1-1�1 SL--
Business owner's- ddresk,J� 423 E 7t' S'treeki P'oft-kn-oe-16s W- W48"3`62'
Automatic,rzre sp inklersystem: N/A
1Z
Use &occupancy aldssifiq�ztion: Business
Occupant load: Pee 200.9 IBC, Table
Type of construction'-- U. v1-B----
4/12/2013
0
n'i Date
ng, n
2* nl,- I,I�,, a q.,
-4
Post on the pre"ses in a conspicuous place. hisqr, ate I--1148tb removed except by the Building Official.
M
Mal
,7
RT.+ CERTIFICATE OF OCCUPANCY APPLICATION Permit#J
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 IN INK
Check one: New business in P.A.?X Change of ownership only? 11 Moving location from within P.A.? El Zoning
BUSINESS NAME
Business address 3,-5 Az A/---s-f- sr, Mailing address 7" sl—
Phone number 3,60 - V7;1-j6V!U Opening date Days & hours of operation
Business owner's name 6,ev^ Contact phone/--V�) 2:Z
Business owner's address V23 Z",,- j- /�'4 S 77
Brief description of business
Property owner's name /antact phoneK, 4��
3 ')
Property owner's address/contact t-7o gl—z w".0 4>e-31"
BUILDING DEPARTMENT phone 417-4815 Bld�q approval IWItH on
o-
Is the business a restaurant or bar that will seat 50 or more peopleP? �es 11 No i
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 El No
Work planned:
PBIA (Parking Business Improvement Area -Downtown) phone 417-4623
Square footage of business?
Is business moving within the PBIA? Yes IJ No 19
CITY CLERK phone 417-4634
City Clerk appr(T
Second-hand dealer/pawn broker business?Yes 0 No X
Will there be dancing at this business? Yes 11 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 I of 2
COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by_on
Number of off-street parking spaces available for employees and
customers? 0
(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.
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 [I 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 El No
If yes, what will be discharged:
CaH for Certificate of Occupancy inspections BEFORE openinm 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.
DfV (!f Signature
Print Name
T:Torms\Building Division\Certificate of Occupancy Application(201 0).doc
Page 2 of 2
COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on
Number of off-street parking spaces available for employees and
customers? IL9
(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 El No Rf
I
Work planned:
PUBLIC WORKS WASTEWATER phone 417-4845 PWWapprovalby_on
Will waste, other than domestic household waste, be discharged into the sewer system? Yes El No 06
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. J 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.
D P r i n t N a m e S//".- Signature
T:\Forrns\Bui1ding DivisionTertificate of Occupancy Application(201 0).doc
Page 2 of 2
CERTIFICATE OF OCCUPANCY APPLICATiON Permit#
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
PLEA.5E PRINT IN INK
Check one: New business in P.A.?X Change of ownership only? Moving location from within P.A.? D Zoning
BUSINESS NAME 4f-
�--15// �- -X'/ L L C,
Business address-32 5 �i Mailing address
Phone number 3p;o - VX7-61-1-55' Opening date Days & hours of operation Sg,"-
Business owner's name X,,, 4,^ Contact phone/3!rg9-)
Business owner's address V23 S 77
Brief description of business
Property owner's name Contact phone4e-?4��d Wo-6n-r7
Property owner's address/contact xVo Z el4o.--k�r 41,f 4>e3,- 2
BUILDING DEPARTMENT phone 4174815 Bldg approval by on
Is the business a restaurant or bar that will seat 50 or more people? Yes El No IN
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 El No N
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 [I No Od
CITY CLERK phone 417-4634 City Clerk approval by on
Second-hand d ealer/pawn broker business?Yes iD No X
Will there be dancing at this business? Yes L1 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 I of 2
Patriqk 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.pd
Crossfit Thunder Ridge LLC
G:\EXCHANGE\Building Routings\CofO Crossfit Thunder Ridge LLC.pd
My Choices
G:\EXCHANGE\Building Routings\CofO My Choices.pdf
J&L Discounts
G:\EXCHANGE\Buiiding Routings\CofO J&L Discounts.pd
Arts Northwest
G:\EXCHANGE\Building Routings\CofO Arts Northwest.pd
Pat Bartholick
Code Compliance Officer
321 E Sth Street
P.O. Box 1150
Port Angeles,WA 98362
Office: 360-417-4712
Fax: 360-417-4711
pbarthol(@cityofpa.Lis
CER TIFICA TE OF OCCUPA NC Y A PPLICA TION Permit# (2)
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
PI-EASE PRINT IN INK
Check one: New business in P.A.? Change of ownership only? El Moving location from within P.A.? 11 Zon ing
BUSINESS NAME LI-C,
Business address-3,-5 Mailing address ��3 2��-5-/ 7e* Sl—
Phone number 360 - Opening date --Days & hours of operation & /W-L,-
Business owner's name -Contact phone,/3g-'q)
Business owner's address VZ3 S77
Brief description of business r
net V /antact phone wo-a:xr,7
Property owner's name X Sy" a-
Property owner's address/contact
BUILDI I NGDEPARTMENT phone 4174815 Bldg approvalkof--on AIVWI
Is the business a restaurant or bar that will seat 50 or more people.? es 11 No d
Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work,
2dding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc).
Work planned:
F
FIRE DEPARTMENT phone 417-4 TLU E.LLc— Fire approval by on !-t 117/Z.O(
Changes to a fire sprinkler system 01 --)Pw
Work planned: 711ni
PBIA (Parking Business Improvement -IvvtlLUWIIJ pnone 417-4623
Square footage of business? V_,576�� PBIA notified ---on
Is business moving within the PBIA? Yes iD No X
CITY CLERK phone 417-4634 City Clerk approval by_on
Second-hand d ealer/pawn broker business? Yes 11 No Dd
Will there be dancing at this business? Yes 0 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 I of 2
PREPARED 3/22/13, 13:08:52 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/22/13
------------------------------------------------------------------------------------------------
ADDRESS . : 325 1/2 W 2ND ST SUBDIV:
TENANT, NER: SHAWN SINSKIE 477-0547
CONTRACTOR : PHONE
OWNER WM H CLEVENGER/JOHN A GRAY PHONE
PARCEL 06-30-00-0-0-3445-0000-
APPL NUMBER: 13-00000186 CO- CHANGE OF OCCP/USE
------------------------------------------------------------------------------------------------
PERMIT: CO 00 CHANGE OF OCCUP/USE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
0099 01 3/22/13 JLL BLDG C/O FINAL
k J\ -,OVERRIDE TAKEN By PBARTHOL DATE: 03/22/13 TIME: 11:01:17
M rch 22 013 1 :0 :29 AM pbarthol.
Karen 4;7-9109
2 1 2
-------------------------------------- COMMENTS AND NOTES --------------------------------------