HomeMy WebLinkAbout127 E 1st St Ste 3E - BuildingCERTIFICA
U PANCY
Cit 4 Port Angeles li ii ii ng :Dn ision
This certificate is issued,�� pursuant to the requiremen of Section 4 111 of the 2309 International Building
Code certifying that a,'the.tame o_ f issuance this structure was in compliance with the various ordinances
of the City regulatin bui1thng gnsimth ion or iisefor the following k
idkktees (Owner• Mike offcitfe
E: 1st St. Ste° :3E
Robert H ;Whitcomb:
Property owner s addres. 911 E Sequim Bay Rd° Sequirr%; nWAa9;8 2 -7645
Business name
Business address
Property owner
Automatic fire sprinkle "r system.
Use occupancy classz f cation.
Building permit nui t er
Occupant load.
Type of construction. V
Not R' tired
Business:
11 -'172
rer
04/14/11
Date
Post on the premises in a conspicuous place. "T s, erh cate s_hail of be removed except by the Building Official.
0(4- 'A
1-
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rn
PREPARED 3/01/11 10 27 36 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/01/11
ADDRESS 127 E 1ST ST EAST 3 SUBDIV
CONTRACTOR PHONE
OWNER ROBERT H WHITCOMB PHONE
PARCEL 06 30 00 5 1 1666 0000
APPL NUMBER 11 00000172 CO- CHANGE OF OCCP /USE
PERMIT CO 00 CHANGE OF OCCUP /USE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
C099 01 3/01/11
BLDG C/0 FINAL
OVERRIDE TAKEN BY LPANGRLE DATE 03/01/11 TIME 10 23 43
March 1 2011 10 22 40 AM 1pangrle
MIKE 477 7054
C OF 0 FINAL SICKKTEES
COMMENTS AND NOTES
roNTA,� CERTIFICATE OF
CITY OF PORT ANGELES+ of Port Ang
Attn. Permit Technicia ubkWorksandUti
321 E. Fifth St. Port Angeles,
e U
(360) 417 -4815 fax (360) 417 -4711
E C I E I I V E
UPANCYAPPLI ION Permit t l I Z^
MAR 04 2011
FEES
ficate Inspection
king Business Improvement Area (PBIA)
fee charged for Downtown locations
PLEASE PRINT IN INK
Ci4
Check one New business in P Change of ownership only? ❑Moving location from within P.A.? Zoning
BUSINESS NAME 5�Y-- CAS
Business address 12 7 e Isi",St�, c 3 G Mailing address 0:7 EIS .Sui 3E YCIPs+rdWiti
Phone number „20(0 -(n �2.--- Openin date 1 -vi Days hours of operation `T- ales -Sc,* I W to SnA
Business owner's name Vnl YR- Vie tr i 20 Cont pct phon (n- 2_Si -to 0.-
Business owner's address 1227 E I" Sv<i 4 3a. ror4- *L-, vV `I g`3Cv.
Brief description of business c 41 YV----1. hiv-I -L u
Property owner's name V-0 Whmf r.ornib
Property owner's address /contact E. Sen- uorA
BUILDING DEPARTMENT phone 417 -4815
FIRE DEPARTMENT phone 417 4653
Changes to a fire sprinkler system or fire alarm system? Yes NoX,
Work planned
PBIA (Parking Business Improvement Area Downtown) phone 417 -4623
52.0
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
Contact ph ne 360 d`0C-1) s9
5 Yt1 3 ir?
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 stairw ys, ramps, bathrooms, electrical heating /cooling /ventilation systems, etc).
Work planned: None,.
Fire approval by on
PBIA notified on
City Clerk approval by on
1
COMMUNITY ECONOMIC DEVELOPMENT phone j_4.17 -4750 CED approval by on
Number of off street parking spaces available for em "ployees
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
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 NoV,
Work planned N k
PWE- approval by. A V on 7 i'
PWW approval by on
PUBLIC WORKS WASTEWATER phone 417 -4845
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 forutilityservices at the. cashiers' counter
.1 hereby apply for a Certificate of Occupancy .1 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.
Date' a_* -U Print Name 1 I \AYR. ��Tt t k Signature I�"4
t
T \Fonns\Building Division \Certificate of Occupancy Application (2016).doc
Page 2 of 2
7
t
'1
PLEASE PRINT IN INK eel])
one New business in P.A. Change of ownership only? Moving location from within P.A.? X Zoning
BUSINESS NAME 5 1G 1-C'
Business address 12- e 1St,Sua+e- 3 Mailing
Phone number „206 2- S1- (0 2O9 Opening date
Business owner's name M1 Y-e-
Business owner's address 121 E. is r Sul 4C 3E. Fork
Brief description of business tN,541'Yr�- ---311(+�
Property owner's name I'�oforr* UJIht e iIo
Property owner's address /contact S PAlAI VYI IOW
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 stairw ys, ramps, bathrooms, electrical heating /cooling /ventilation systems, etc).
Work planned N 0 he,.
FIRE DEPARTMENT phone 417 4653
Changes to a fire sprinkler system or fire alarm system? Yes No L.
Work planned: Nom
PBIA (Parking Business Improvement Area Downtown) phone 417 -4623
52-0
Square footage of business?
CERTIFICATE OF OCCUPANCY APPLICATION Permit t
CITY OF PORT ANGELES
Attn Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Is business moving within the PBIA? Yes No
CITY CLERK phone 417 -4634
Second -hand dealer /pawnbroker business? Yes NoX
Will there be dancing at this business? Yes 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.
Page 1 of 2
FEES
$50 ificate Inspection
making Business Improvement Area (PBIA)
fee charged for Downtown locations
address 17 E ISI,Svklic3E, r'Br+tv1!s
Days hours of operation Tkles -Sct.+
Cont pct phon
u
Contact ph ne 3(oO-- dc OC=I s
SP9- u i 1rn 3 4`"a
Bldg approval by t..V
Yes No X
on 5 —It
Fire approval by �V b on L} 5 —1
PBIA notified
31-a,111
City Clerk approval by J H on 3 3
e,
COMMUNITY ECONOMIC DEVELOPMENT phone 4174750 CED approval by SR_ on 3 1 rt
Number of off street parking spaces available
customers?
(A parking plan may be required.)
Signs? (wall- mounted, freestanding, projectin
Signs planned: t.
PUBLIC WORKS WASTEWATER phone 417 -4845
Date
Worms \Building Division \Certificate of Occupancy Application (2010).doc
for employees and
g
awning, A- frame, etc
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, downspouts,
irrigation system backflow devices, etc.). Yes Nod,
Work planned k
Print Name f\ _L t1�C(< Signature
Page 2 of 2
PWW approval by
Please sign up for utility services at the cashiers' counter
(pet- P L
cecl l
I t ominPr. M:
3 -1 -u
PWE approval by on l ^i
l
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
1 hereby apply for a Certificate of Occupancy I acknowledge that 1 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.
124.