HomeMy WebLinkAbout601 S Race Street Address:
601 S Race Street
L"A E ORMFICATE 'OF GCCUPANCY
City�&. Port Angeles - Building MY, !on
This certificate is issued,purquant to the requirements of Section I I I of the 20,12 International Building
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Code certifying that at�thq,tii-h�'bfissuance this structure was in compliance with the various ordinances
ofthe City regulating�iby'zldin'�'g-'c'onstr,'u&tioh-,6eusefQr thef in'---
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Business midress
Business owner., Clark
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Business owner's 6ddr�ess:'/ 601S Raco tre!9,�-,,f prt`A--!j9"bl&§:MA 98
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Automaticifire spr.1nk,1er:s'-Y' s'tem:
Use & occupancy Nassification: Business ,,.-
Occupant loa& 113C, Tabl 6-0004.1.'A
Type ofconstructiow:�,
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12/12/2014
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Date
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Post on the premises in a conspicuous lace" ifica I be removed except by the Building Official.
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CERTIFICATE OFOCCUPANCYAPPLICATION Permit#
FEES
9 CITY OF PORT ANGELES
Attn: Permit Technician $50 Certificate/ Inspection
�01W.I I I
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?oMoving location from within P.A.? El Zoning
BUSINESS NAME_ ,,—)
Businessaddress b161 -5 9,a.-e -5r -1;Lf& Mailing address 6/0/ -5 4gx -Sr-f-Ac
Phone number 36o- 4�9.2 - '26 3(, _Opening date Days & hours of operation 04OF 'CV-30-6 7-7%,q-)�2
Business owner's name (�-44 Contact phone ZO 7e:3:41
Business owner's address
Brief description of business 4
Property owner's name /�i e,- 6v en /14W/shwP o Contactphone 360 qgc)
Property owner's address/contact 5;-/U 7 U 29ELL
BUILDING DEPARTMENT phone 417-4815 Bldg approval by on
Is the business a restaurant or bar that will seat 50 or more people? Yes 11 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 El No X
Work planned:
PBIA (Parking Business Improvement Area-Downtown) phone 417-4623
Square footage of business?— /5-00 Arr PBIA notiried---on
Is business moving within the PBIA? Yes 11 No
CITY CLERK phone 417-4634 City Clerk approval by. on
Second-hand dealer/pawn broker business?Yes El No
Will there be dancing at this business?Yes 11 No K
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? 1-7
(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_an
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 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 El Nolk
If yes, what will be discharged:
CaH for Certificate of Occupancy 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.
4115-ln4 /C-
Date Print Name —Signature
T%Forms%Eluilding Division%Certificate of Occupancy Application(201 0).doc
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