HomeMy WebLinkAbout902 E. 8th Street Address:
902 E 81" Street
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CE TIFI�C-1TE OF OC--ICUPANCY
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City of Port Angeles - Building ®iTion
This certificate is assay p suint to the requirements of Section M of th 09 International Building
Code certifying that at,the time of,issuance this structure was in compliance with the various ordinances
of the City regtilating,lbtiilding constY,ction or use for the following
Business name: Olympic Peninsula Oral Surgery +
Business address i 902,E"8th Street;. y`,
♦ Business owner: ;1 7-� Teresa Robbins3.
Business owner's' 550 N. 5th Street, Sequim, WA 98;382• i
Automatic fare spranklerasystem: N/A-
2
Use & occupancy cldss(cation: Business
Occupant load: Per-2009 IBC, Tab1e-=1004:1..:1 Y wa
Type of construction- �V B F, k
3/29/2013
k *Si%e Roberds, Ply ningrMariciger' Date
Post on the premises in a conspicuous placed Tluscerhficlte shall'•not be removed except by the Building Official.
o�?osx`n.tiG�l�s CERTIFICATE OF OCCUPANCY APPLICATION Permit#
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 L At, D6S — Ol rC_ Ne-1-5-(q
Business address 0_2. � t- -S+- h R8�6z Mailing address S'S_0A1 S�"
c1 4- ,A, -- Se� ,�. RF1 8Z
Phone number 3 D' -0600 Opening date I Tye 13 Days & hours of operation 19-5- im-F
Business owner's name Alai, L feel` Contact phone 36 0 -6.91 0060
Business owner's address SSo AV e
Brief description of business __.2 L/ ✓ o�
Property owner's name rot Al V.eH �v-e_S Contact phone 0 -G�°/ '�z dU
Property owner's address/contact 5 0 iv S1-4 4V,-
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 DEPARTMENT phone 417-4653 Fire approval by on
Changes to a fire sprinkler system or fire alarm system? Yes ❑ Noy
Work planned:
PBIA (Parking Business Improvement Area -Downtown) phone 417-4623
Square footage of business? PBIA
Is business moving within the PBIA? Yes ❑ No
CITY CLERK phone 417-4634 City Clerk
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
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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?
(A parking plan may be required.)
Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?)
Signs planned: n
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 ❑ 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 ElNo�
If yes, what will be discharged:
Call for Certificate of OccupancV inspections BEFORE openin_g 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.
Datev/ Print Name 4L tv L fi—et Signature
T:\Forms\Building Division\Certificate of Occupancy Application(2010).doc
Page 2 of 2
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Yoe-oKr:q,��f CERTIFICATE OF OCCUPANCY APPLICATION Permit
Q� - ,le
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.?❑ Change of ownership only? ❑ Moving location from within P.A.? ❑ Zoning
BUSINESS NAME �Gln P2P/� Q✓JS — Ol �C. P��rrS�(ct �� �co
Business address 9'0-. iff S+- /4 'M?67 Mailing address
Phone number _ZO-0/l-6100 Opening date I TAS i3 Days & hours of operation
Business owner's name A16k L P11-64--t` Contact phone 36 O -6.5'1 0g6Q
Business owner's address IU S4"1-
Brief description of business n✓,-2
Property owner's name 14-14 Al V8H-�v,_- S Contact phone T C 0 -63/ -d-i 60
Property owner's address/contact 575-0 iy S-t-4, 14 ve
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 e"
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: �u---e—.
FIRE DEPARTMENT phone 417-4653 Fire approval by on
Changes to a fire sprinkler system or fire alarm system? Yes ❑ Nox
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
4
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\O /
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 ❑ 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 ❑ No%—vn
If yes, what will be discharged:
_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 in revocation of
permit.
Date Print Name IT Laiy L Signature
T:\Fcrms\Building Division\Certificate of Occupancy Application(2010).doc
Page 2 of 2
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Patrick Bartholick
From: Patrick Bartholick
Sent: Thursday, January 24, 2013 9:03 AM
To: Dan McKeen; Dave Chastain; Edith Parker; Eric Walrath; Janessa Hurd; Jeff Young;
Jonathan Boehmer Ken Dubuc; Nathan West; Rick Hostetler; Roger Vess; Ron Becker; Tracy
Rooks
Subject: CofO Routing
Please review the following CofO applications and enter your result in hte.
Z Salon
G:\EXCHANGE\Building Routings\CofO Z Salon.pdf
C Street discount Grocery
GAEXCHANGE\Building Routings\CofO C Street Discount Tobacco & Grocery.pdf
Tasha's Lil Boutique
G,EXCHANGE\Building Routings\CofO Tasha's Lil Boutique.pdf
Hair Systems West
G:\EXCHANGE\Building Routings\CofO Hair Systems West.pdf
Allan Peet DDS
G:\EXCHANGE\Building Routings\CofO Allan L Peet DDS- Olympic Oral Surgery.pdf
Korean Women's Association
GAEXCHANGE\Building Routings\CofO Korean Womens Association.pdf
The Heartline Inc
G:\EXCHANGE\Building Routings\CofO The Hearline Inc..pdf
Northwest Veterans Center
G:\EXCHANGE\Building Routings\CofO Northwest Veterans Resouce Center.pdf
Thanks
Pat
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
pbartholRcitvofpa.us
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