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Home My WebLink About1137 W. HWY 101 Address: 1137WHWY101 CERTI F1Ce►� Er i F OaCCUPANCY City'of Port Angeles Buildlrtg�D'ivsion Av- This certificate is issued 5uursuant to the requiremenis�of Section 111=-of the 2009 International Building r Code certifying that athetimeof issuance this structure was in compliance wh the various ordinances of the City regulating building construction'or�use�for the followings Business name: Shot"'In The,DarW� i� Business address. 1137�WHigtiway10 � � \� Sa uel R Davies Business owner: caP Business owner's address PO Box 317,0E Pork`FAng IesUU'A 98362 ' Automatic fire spryzkler system: N/VXA Use &occupancy classification: Business4 Occupant load: Per,2..009 IBC, Table 1r004.1s.1E Type of construction: 8/8/14 Sue Ro�iett l inng,'•t nage' Date Post on the premises in a conspicuous place. This,u�cerhficate shall not be removed except by the Building Official. � 1 CERTIFICATE OF OCCUPANCY APPLICATION Permit#�� Rr FEES _ CITY OF PORT ANGELES Attn: Permit Technician f $50 ertificate/Inspection 321 E. Fifth St., Port Angeles, WA 98362 100 Parking Business Improvement Area (PBIA) (360)417-4815 fax(360)417-4711 �J/A 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 ��of 1A1 TUC- D14i2� Business address_ 1137 0 f-It&1401+q 1 o t Mailing address pv f3a c .31'.70 f'a,2i ,4tj&6j65 G-irr Phone number (3& bog-3Kkfo Opening date-' j0150A Days &hours of operation Y`Som-x Business owner's name 5Ar^L1,--L Q. p4+ Ijr-1 Contact phone 6053-3clLE& Business owner's address 6l2 coLy,L-Lt BLV, POO-Y— 4"e,&4-C-5 VJA rTy536,3 Brief description of business C5P24E5;50 S7-4"b,, yJACIA-,vP Property owner's name ^IZ& KAtJ&, Contact phone Property owner's address/contact 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 K 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: NotJ G FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes ❑ No Work planned: 0 C7 hl PBIA (Parking Business Improvement Area -Downtown) phone 417-4623 Square footage of business? %" SOff' PBIA notified on Is business moving within the PBIA? Yes ❑ No 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 1:1No� 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? ''w (A parking plan may be required.) Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?) Signs planned: ` n, '514(o ` iN -T-Hc- pAay E'SPRCSSo� ��lay� SWAPO (z)"CSPOZ665b" SAPpLJ I(-H 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: NDIJ6 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 k If yes, what will be discharged: O N� 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 1016 'J Print Name SRW►VCL DAV t&'S' Signature TAForms\Building Division\Certificate of Occupancy Application(2010).doc Page 2 of 2 PREPARED 10/10/13, 12:52:16 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/10/13 ADDRESS . : 1137 W HWY 101 SUBDZV: TENANT, NBR: SAMUEL DAVIES 808-3446 CONTRACTOR : PHONE OWNER DULAI PAL SINGH PHONE PARCEL 06-30-08-5-8-2010-0000- APPL NUMBER: 13-00001172 CO- CHANGE OF OCCP/USE ---- ----- --------------------- PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---- -—----—----------—---------------------------—------ 0099 01 10/10/13 BLDG C/0 FINAL * OVERRIDE TAKEN BY PBARTHOL DATE: 10/10/13 TIME: 08:55:06 October 10, 2013 8:55:24 AM pbarthol. Samuel 808-3446 -------------------------------------- COMMENTS AND NOTES 1 1