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Home My WebLink About1001 E 1st St - Building Certificate of Occupancy 1001 E Pt St 13 - 1279 0 CERTIFICATE OF OCCUPANCY City�f Port Angeles - Building Division z This certificate is issued, ursuant to the requirements of Section 111 of the 2 9 International Building Code certifying that at'he"time of issuance this structure was in compliance wi h the various ordinances of the City regulatin• uilding construction or:use for the following. ,Rwad - s Espresso Business name: a a„�,J_:ut e1St -- r -..;::::::7,,,,,,,,11-,a,-.1, -;,,,,,A;41 Xc11Street s ;''',,,-;;.- ;,!,-:;,1-0;014-41, g0,1:68,136 T 6 96 Business address:, ,�stRewards Ino-:T"';',.. F $369 Business owner: tcien aPort Anges; iBusiness owner sders' das°" 14: Grey y; -„N/A''''''''"-.'-3--'”--' -Automatic fire sp klystem Use &occupancy assification: Business Occupant load: 4, Per 2009 IBC, Table.1004.1.1 Type of construction':, l►�'1- ?� ' �{ .-: :' - .� : 8/8/14 :i."1,0,-'.., 0.7.'1`il ` �%1 F. &.& f Date Post on the premises in a conspicuous lace. c ificat h l not be removed except bythe BuildingOfficial. P P s--� .a P (� 4 �o op• O pokr 4 tor� CERTIFICATE OF OCCUPANCY APPLICATION Permit# ! - 4.2 2 9 ►- CITY OF PORT ANGELES FEES v. NI $50 Certificate/Inspection Wt Attn: Permit Technician NNW 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?on� ❑ Moving location from within P.A.? ElZoning BUSINESS NAME ✓ST '�� .//1/ S , �� /SSS C , Business address / ‘;' Mailing address 7'* 4/t"77' ,,-7 , /4/ ��3i`" Phone number .iU '757‘-.57-c— Opening date /q ( Days &hours of operation , - 7 Business owner's name /,istZ-77.t//4-7c% . Contact phone Business owner's address /41-3 /j�4l/ Brief description of business 4-"Sp--)'r55t "/ Property owner's name / Contact phone Property owner's address/contact i474-S / "),4-r i2 . �� t /,//i,"7/717, 3 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 phone 417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes ❑ No 2- 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 p CITY CLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business? Yes ❑ No(6 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 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. 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 ❑ 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 ❑ 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 s ate that the information I have supplied is correct to the best of my knowledge. Incorrect informatio. ayresult 'ly evocation of permit. Date///-// Print Name Signature_ _ _ T:\Forms\Building Division\Certificate of Occupancy Application(2010).doc Page 2 of 2 *'1,11 ROUTING SLIP ~r:;A ,ea", ~" JF o&, - P-9:}- lO~Q\ Certificate of Occupancy ~~: "--~;!I' 1~3 Ilvln I~ I ~ ,/,v''''' $50.00 Certificate/Inspection Fee - ~",wo".." 3 - Zti-OCo 0 DATE New Business. . . . . . . . . , . . . ..... ....., .... ( V) Address of Proposed Busintss . ~,<i',\-- ~.\- Transfer of Business Location .... ...... ..... ( ) 100\ E. ~~._ <'~ f. Change of Ownership .... ....., ,.... . ..... ( ) Applicant 40{. \M.-()'V\S~ "- New Building .. .... . .... ....... ",. ...... ( ) Address 9-.7.0:-" 1fu.lle1 ')'\- Remodel. . . . . . . . . . . ...... ..., ...., ....,. ( ) Temporary Business. . ...., ..... ,- -,. ...... ( ) Phone: business 417ll1."\ home Lifo h:f] {( Change of Use . . . . . . . . . _ . . . . . . . . _ . . . . . . . ( ) Brief description of proposed business: (\4 hI fk,,~,\ IV\,Cl ;? IZe.h, \ Legal Description: Lot Block Subdivision Current Use of Property: Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes. -~ PERMITS BUSINESS LICENSE Electrical changes .... ... ....... ....... _ V 1) Building 1) Taxi Mechanical (heating, cooling, stoves) ..... ---d 2) Plumbing 2) Peddlers Plumbing changes. . . ........ .... ...... ...... _ ---1L 3) Electrical 3) 2nd Hand Dealer New or relocated signs . ./ 4) Mechanical 4) Pawn Broker - ---:7 New septic tanks ....... -- 5) Sewer 5) Dance New sewer service. L/ 6) Sidewalk installation 6) Hotel - Motel -~ Admission charged to patrons . .... .. ....... - ---z;;r 7) Driveway installation 7) Fireworks Is this a home occupation? . - ---;;T 8) Curb installation 8) Ambulance Excavation of filling of lots. -- 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-af-way . ,/ 10) Water meter installation 10) Other Is there sufficient off-street parking? . .... ~----!J 11) Fire New driveway openings -~ 12) Occupancy A grading plan for site drainage .......... ........ 13) Sign (parking lots, downspouts, etc.) . ~ ! 14) Shoreline Are the existing streets paved? . . ....... .... 15) Home occupation Are there existing sidewalks? ........ ............ 16) Conditional use Is there curb and gutter? . - ---r 17) Other Other. . I hereby apply for a Certificate of Occupancy and acknowl- :)- Z-q-O~ edge that I have read this application and state that the Date: information I have supplied is correct to the best of my /l knowledge. Signed: / ~~~\~~E~EJECTED Comments / Conditions . Eng Section ,) Public Works Department 4 'I- OI.",c,R Planning Department Krf;) Fire Department j "29- 00 .GIJ City Clerk PB.I.A. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT .......... REQUEST: Date_ Time Received by (phone, person Location of Work to be inspected / O(~ ./ ~-- t/ 5-Z/~ "-~'"~'- Name of person requesting inspection ~i7~-~-~ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: inspected: Date Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved J--[Gravel [--J Asphalt []PCC {~Other []Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. "J--::! t. Y DATE /2. /z.fp/yS- , Installed By: ( c /d; . S. z,4 ;Xz.ff MI' II E-r o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW o HEAT PUMP KW_ o FAN/WALL KW _ o RESIDENTIAL )'l COMMERCIAL ~ NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: 01(1\ 03~ SERVICE SIZE FEEDER SIZE ~ 0 AMPS AMPS DetailslDescription: Z--:x; PR....[>S,D ~ J - ~ ~o ~~ . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. ~ P.Rough-in/cover O.K. o O.K. to connect service ~ rp Final O.K. Site Address: /DO lll( I) /J Installer: . .J Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on eitherthe Wiring Report or on the Building pe!Jll1t. PHONE 457-0411, EXT. 224. /j~ NO OCCUPANCY OR USE: ESTABLISHED UNDER THIS PERMIT $ Iso . I Electncal Inspector Permit Fee WHITE - l=i1e by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall ~ OLYMPIC PRINTERS INC ~ ~ .~.~~- CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT Site Address: Installed By: Owner/Business: Owner/Business Address: o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other "'fJ Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair ~ Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Detai IslDescription: PERMIT NO. C) f.;? .s DATE 1/ //t/i" I I o READY FOR 0 WI LL CALL FOR INSPECTION INSPECTION Phone: Phone: Sq. Ft. o Overhead . 0 Undergr.ound Voltage 010 03.0' Service size o Temporary Amps r'1I- fA ;t~ ..~9-r/1 / - . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection OK o Rough-in/cover O.K. o O.K. to connect service ~Final O.K. Date Hold for: 0 Easement 0 Letter Size Comments o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: t. PermitfReceipt No. New Meters o Notify the epa ment of City Light by Street Ad s an Permit Number when ready for i spe lion. Work must not e covered or electrically energized before inspection and O.K. for covering or service has been given by the I~r in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224. 1 ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ 0 ~ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall .