HomeMy WebLinkAbout3415 S Peabody Street (5) Address:
Peabody Street
MIT"
CERTIFIC T F�"--, CUPANCY
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City:', P0, �i An�eles' - Ruild
This certificate is issue&fiu�suant to the requirements,-6fSection H T of the 2 International Building
Code certifying that at;th'e'tim`e-of issuance this structure was in compliance 1�.41 the various ordinances
of the City regulating uiid*' 11 ',�ctio-W&Kuse
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Business name: OF
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Business owner., t,,-�J H 'Ibb
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Business owner`s--addiess,.�� 2018 We tview r P
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Automatic'flre sprinkli-r6syiwm: N/Al--',
Use &occupancy asA cation.- Bu�f6e-e---si"",z
Occupant loa& 2, 'Pbtt-201,2 IBC, Tabbe-�Ad
Type of construction." t V
12/12/2014
Date
Post on the pren-dses in a conspicuous place. thik eE I-not be removed except by the Building Official.
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CERTIFICATE OF OCCUPANCY APPLICATION Permit# 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 rN INK
Check one: New business in P.A.?[I Change of ownership only? 4 Moving location from within P.A.? X Zoning
BUSINESS NAME R-�e—\1777 C \A,\-k\r(,V,
Business address.'7)4kS� ca L,)nc,&A VoAA rap-.10-s _Mailing address'Z0\V\jea &\rs VIv, VOA- n. S qb 3
Phone number36C�--\--�-+-'LUIS Open i�g date I Days & hours of operation
Business owner's name_,\a�,� "\Xymv ��v V&-t y- Contact phone ELoZ) -WA�-U)-) C:�
Business owner's address :2MS' A-naAa C, ,\-Ali, CIR3
Brief description of business CN,\k-s,y
Property owner's name.'�&S&\. \k�mmeA\n.# wAf v- Contact phone 3(a) - q-4 10 76
Property owner's address/contact ?s)\9, We �Q S)y V A- A nq e I f q 8b Ig
BUILDING DEPARTMENT phone 417-4816 Bldg approval by
I %�on (?r
Is the business a restaurant or bar that will seat 50 or more people? Yes 11 No 16
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 11 No-In.
Work planned:
PBIA (Parking Business Improvement Area-Downtown) phone 4174623
Square footage of business? I PBIA notirled—on
Is business moving within the PBIA? Yes El NoA
CITY CLERK phone 417-4634 City Clerk approval by. on
Second-hand d ealer/pawn broker business?Yes D No
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 CEDapprovalby on
Number of off-street parking spaces available for ipmployees and
customers? e—l\\<.,k\ncA y
(A parking plan may be reciJred.)
Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?)
Signs planned:
2M C
PLEASE NOTE NO flashing, intermittent,or chasing signs are permitted in the City of Port Angeles.
PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 ME .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
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 NoX
If yes, what will be discharged:
Call for Certificate of Occupancy inspections BEFORE openinc
i 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 PrintName JFts,,— Signature
T:\Forms\Building Division\Certificate of Occupancy Application(201 0).doc
Page 2 of 2
PREPARED 8/05/14, 13:46:20 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/05/14
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ADDRESS . : 3415 S PEABODY ST SUBDIV:
CONTRACTOR : PHONE
OWNER OLYMPIC VINEYARD CHRISTIAN FSP PHONE
PARCEL 06-30-15-5-0-1610-0000-
APPL NUMBER: 14-00000917 CO- CHANGE OF OCCP/USE
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PEaZMIT: CO 00 ClIANGE OF OCCUP/USE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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0099 01 8/05/14 JLL BLDG C/O FINAL
OVERRIDE TAKEN BY PBARTHOL DATE: 08/05/14 TIME: 13:44:50
August 5, 2014 1:47:32 PM pbarthol.
Jason 477-2025
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