HomeMy WebLinkAbout102 1/2 E 1st St Ste 1 - BuildingCERTIFICATE !O OCCUPANCY
City of Port Angeles Building •Divisi on
This certificate is issuedpursuant to the requirements of Section 111 of the 2009 International Building Code
certifying that at the time of issuance this structuT e was in compliance with the various ordinances of the City
regulating building construction or use forzthe following
Business name: Mad rigal Design�(;Owner
Business address: rE 102 '/2 °E. l s` St #1
Property owner: K 0 EricksoD Estal
Property owner's add ress 3005 W. 18 t h
Automatic fire sprinkler system: Not Require
Use occupancy classific Business
Building permit number:
Occupant load: Rer
Type of construction: VB< a
"Sue Ro`berd iiiiin Manager Date
Post on the premises in a conspicuous place. Thi certificate shall n not be removed except by the Building Official.
rte? 1IL1(
Check one: New business in P.A.
CERTIFICATE OF OCCUPANCY APPLICATION
CITY OF PORT ANGELES
Attn: Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
uy C S• PLEASE PRINT IN INK
Change of ownership only? Moving location from within P.A.? Zoning C P)p
BUILDING DEPARTMENT phone 417 -4815
Is the business a restaurant or bar that will seat 50 or more people?
FIRE DEPARTMENT phone 417 4653
Changes to a fire sprinkler system or fire alarm system? Yes No M
Work planned:
BUSINESS NAME A4 arltrr r i r ti j D iyv1
Business address /c 2 r rz f— /v^s'f S et I Mailing
Phone number 7Go 2-R-( 72sG Opening dateq /5 /il
Business owner's name 1.(/cci (i Mt va frIc1
Business owner's address 27o ry e o IQd ?Or'1-
Brief description of business Ds r5 Aci —nc
address 270 Come rcy\ Pc) P r Arv r Wok
Days hours of operation
Contact phone
rt'.Jff
C)nFhi Cor,, r
Property owner's nar E 11'1 Iv 'F Contact phone 3(Q 1 4S -1 I SS'-I"3
Property owner's address /contact
or w� c ifi 'Sin 3
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:
PBIA (Parking Business Improvement Area Downtown) phone 417 4623
Square footage of business? j ct. re ca
Is business moving within the PBIA? Yes No
CITY CLERK phone 417 4634
Second -hand dealer /pawnbroker business? Yes N
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
FEES
$50 ertificate Inspection
Yes No
Permit OK
$100 'arking Business Improvement Area (PBIA)
fee charged for Downtown locations
Bldg approval by LL-- on et-2,-3-1.1
Fire approval by 1<b1 on 10 -20
PBIA notified on
City Clerk approval by H. on 1
�`r3�3
COMMUNITY ECONOMIC DEVELOPMENT phone 417 4750
Date
Number of off street parking spaces available for employees and
customers?
(A parking plan may be requ r ed.)
Signs? (wall- mounted, freestanding, projecting, awning, A- frame, etc
Signs planned:
Ec P CB av, 80:W 1 n o 'IC-P
Work planned:
Print Name
T: \Forms \Building Division \Certificate of Occupancy Application (2010).doc
PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles.
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, down 3outs,
irrigation system backflow devices, etc.). Yes No"
PUBLIC WORKS WASTEWATER phone 417 4845
Will waste, other than domestic household waste, be discharged into the sewer system? Yes Er No L
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 1 have supplied is correct to the best of my knowledge: Incorrect information may result in revocation of
permit.
Page 2 of 2
Signature
CED approval by S 1L. on 2111
l
PWE approval by
PWW approval by on
0:4 JAY' 1 ))/y'
4
1
CERTIFICATE OF OCCUPANCY APPLICATION Permit I I 1 8 t
CITY OF PORT ANGELES
Attn: Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
L,- C S1 PLEASE PRINT ININK
Check one: New business in P.A. Change of ownership only? Moving location from within P.A.? Zoning C(:4)
BUSINESS NAME A4 a rJv, r I s, yvi
Business address /02 S-& *f a- Mailing
Phone number 76,O 21 7265 Opening dated' /5 /i
Business owner's name /t/ccfcc /t A4 pre l
Business owner's address 2
Brief description of business
Property owner's names,- Ir= 'w 0, Ii1cA
o L.J
Property owner's address /contact f
a
Contact phone 3 LQ LI. S i 2- -r
c
BUILDING DEPARTMENT phone 417 -4815
Is the business a restaurant or bar that will seat 50 or more people?
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
Changes to a fire sprinkler system or fire alarm system? Yes No Id
Work planned:
PBIA (Parking Business Improvement Area Downtown) phone 417 4623
Square footage of business?
Is business moving within the PBIA? Yes No
CITY CLERK phone 417 4634
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
Yes No
t for /ti
FEES
$50 ertificate Inspection
arking Business Improvement Area (PBIA)
$100 fee charged for Downtown locations
address 270 Cu one rov Pc) Pnr+ v 1
Days hours of operation J27 S
Contact phone
Bldg approval by on
Fire approval by Ka), on
o Zo -Zo II
PBIA notified on
City Clerk approval by on
CERTIFICATE OF OCCUPANCY APPLICATION Permit 1
CITY OF PORT ANGELES
Attn: Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
3 2 1- 9 LP EASE PRINT IN INK
Check one: New business in P.A.? Change of ownership only? Moving location from within P.A.? Zoning C bb
BUSINESS NAME ra aril r r I 7 S +cvl
Business address /02 /z. rstC (1 .-er 7 Mailing
Phone number76,o 2R-1 72 Opening dateq //5/11
Business owner's name /tic- M, itr
Business owner's address 210 /Qc1
Brief description of business 'per (`J h ,Asir r,c
Property owner's na 02 I1cA ri 7. (r
Property owner's address /contact cc -e
0
t.J
Contact phone 3l00
t■ S 1,0
BUILDING DEPARTMENT phone 417 -4815
Is the business a restaurant or bar that will seat 50 or more people?
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
Changes to a fire sprinkler system or fire alarm system? Yes No Vd
Work planned:
PBIA (Parking Business Improvement Area Downtown) phone 417 -4623
Square footage of business?
Is business moving within the PBIA? Yes No
CITY CLERK phone 417 4634
Second -hand dealer /pawnbroker business? Yes N
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
50
FEES
ertificate Inspection
$100Narking Business Improvement Area (PBIA)
fee charged for Downtown locations
address Z7° C one r■ P ,q,-r r.-
Days hours of operation i27 —Y
Contact phone
tk
C.infil,nci) Coricf l'e-r we
approval by on
Yes No
Fire approval by
on
PBIA notified on
Permit Ot 5
Date: c \rZ k-A
I phoned the Applicant
a-ljkl\
0374/it Ni t at 1 6 b ,2 i4
Property Owner at
Contractor at
I (left a phone messag or discussed):
The permit (has expired, or will expire soon). What is the status of this project?
9-0-11
4 34-
T:Forms /Building Division/Project Status Update
PROJECT STATUS UPDATE
Please call and schedule a final inspection.
Or
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
q123/11
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CITY CLERK phone 417 -4634
CERTIFICATE OF OCCUPANCY APPLICATION Permit#
CITY OF PORT ANGELES
Attn: Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
62,, v S E A S E PRINT IN INK
Check one: New business in P.A. ?Change of ownership only? Moving location from within P.A.? Zoning C by
BUSINESS NAME
Business address /02 rSr Sr/re Mailing address Z70 C me Cc 1 Pr,•�><lnr r,
Phone number 7w 214-I 723G Opening date /5 /i I Days hours of operation !I7 4 7 -S S'S (.3
Business owner's name /t /ccfcc7l t= /V1, i Contact phone
Business owner's address 270 (-Iry vr-lv1 I 'c). low*- (oil- ci(Y/��
Brief description of business D is vi A 'jrr c 1 Ck itun j Cori() -i ie r (e.._
Property owner's na e 0,1-nGr ri fry "r Contact phone 3 tOO 1 4S 1 i cs
Property owner's address /contact'? f- ftyr -P 1 nor r i iQJ tP Ira A ci er 3
BUILDING DEPARTMENT phone 417 4815
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
Changes to a fire sprinkler system or fire alarm system? Yes No M
Work planned:
PBIA (Parking Business Improvement Area Downtown) phone 417 4623
Square footage of business? 2-cc vc, :e ta
Is business moving within the PBIA? Yes No
Second -hand dealer /pawnbroker business? Yes.
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
FEES
$50 .,ertificate Inspection
$100 ,Parking Business Improvement Area (PBIA)
fee charged for Downtown locations
Bldg approval by on
Fire approval by on
PBIA notified
City Clerk approval by on
COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750
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:
(ct�rP CS ova cSoU v -k 6 (c-P
PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles.
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, down outs,
irrigation system backflow devices, etc.). Yes No`
Work planned:
PUBLIC WORKS WASTEWATER phone 417 -4845
Will waste, other than domestic household waste, be discharged into the sewer system? Yes
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
I hereby apply for a Certificate of Occupancy. I acknowledge that I have read" this application and state that the
information have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of
permit.
T:1Forms \Building Division \Cer1ificate of Occupancy Application (2010).doc
Please sign up for utility services at the cashiers' counter.
CED approval by on
PWF app_rovalhv 1 en 9
/V CEndpl' n izs
PWW approval by on
Date /54( Print Name A(rc jl 'P /,O� V1 Signature ,r, t(
Y- Gely
Page2of2
COMMUNITY ECONOMIC DEVELOPMENT phone 417 4750
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:
t✓ (�t�P c5 Ova 803 \r 6 (c-
PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles.
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, down outs,
irrigation system backflow devices, etc.). Yes No
Work planned:
PUBLIC WORKS WASTEWATER phone 417 4845
PWE anprnvaf by nn
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.
1 hereby apply for a Certificate of Occupancy. l acknowledge that l 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 C (//0 .Print Name Signature (fin 41' /mot
Ley" 1
T:tForms \Building Division\Certificate of Occupancy Application (2010).doc
Page 2 of 2
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CERTIFICATE OF: OCCUPANCY
City of Port Angeles
Building Division
This Certification issued pursuant to ;Nun ements :ofSection 301 of the
International Building Code certifying that at the time of issuance this structure was
in compliance'withthe various ordinances of the City regulating Building
L V construction or use. For the following:
Use Classification: Business Building Permit No.: 05-677 Business Name Fresh Design
No. 67
e k w:
Group: B a" Tvpe of constedetion ,cam V 1� r Use`Zone: CA
r ...:4i; r P rcJ•. tira I 1St as f
Owner of Business: Karen Mareour Long A ddress l
g 102 /Z E Ffrst Streefr `Port Angeles, WA. 98362
Building Address: 102 'A E First "Street. Port Angeles. WA. 98362
t. 7M
Building Dale
Post on the' premises 1n`ta conspicuous place.
Shall not be removed except by Building Official.
12- (,rela, M iA,IttilitY
p) j,j
j1/ Si (1
Ltz
(J
ROUTING SLIP boa 6 7'l
Certificate of Occupancy
$47.00 Certificate /Inspection Fee
.A
DATE 1 /2.-b /OS"
New Business
Transfer of Business Location
Change of Ownership
New Building
Remodel
Temporary Business
Change of Use
(}C
Address of Proposed Business
102/7 F hi/S F U.Gf e I
Applicant 4 ...1 A. 1 ,-1
Address tte- (11/2 4/0
Phone: business 4 411 t home 457'.%7-7
Brief description of proposed business
r. 1 e4 l j1 i
(.¢Vapo(% l
Q
Legal Description: Lot
Current Use of Property
Zoning Classification of
Block Subdivision
Property:
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes
Electrical changes
Mechanical (heating, cooling, stoves)
Plumbing changes
New or relocated signs
New septic tanks
New sewer service
Admission charged to patrons
Is this a home occupation?
Excavation of filling of lots
Work done in City right -of -way
Is there sufficient off street parking?
New driveway openings
A grading plan for site drainage
(parking lots, downspouts, etc.)
Are the existing streets paved?
Are there existing sidewalks?
Is there curb and gutter?
Other
YES NO
1
THE FOLLOWING WILL
PERMITS
1) Building
2) Plumbing
3) Electrical
4) Mechanical
5) Sewer
6) Sidewalk installation
7) Driveway installation
8) Curb installation
9) Sidewalk obstruction
10) Water meter installation
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
BE REQUIRED:
BUSINESS LICENSE
1) Taxi
2) Peddlers
3) 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
10) Other
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the
information I have supplied is correct to the best of my
knowledge.
Date
Signed
ROVE REJECTED
/2 OS Building
Section
Works Department
Department
Department
Comments Conditions
Public
Srs g /3/0c Planning
2 9 (Z5DE Fire
1G'j City Clerk
P. B.I.A.
X61