HomeMy WebLinkAbout125 W. Front Street Address:
125 W Front Street
CERTIFICA xjEOFOCCUPANCY
Cityf Po"rt Angeles Budding Division
This certificate is issued pursuant to the requirements of Section 171 of the 2009 International Building
Code certifying that att 'U"' ffissuance this structure was in compliance with the various ordinances
of the City regulating buildtng constr,-ucta_no or use for the follo�w�gy
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Business name: Ink dtMye Studio
Business addressFrontyStreetx �� n
Shirren Furman/Mike' I,I, 'r y., {
Business owner: � � �.
t' M�°'
Business owner's ddress 201 Dogwo�oaj,Pnno►lyWq'9?8320��
Automatic fire sprinkler system: N/A�
Use & occupancyclassification: Business
Occupant load. 'Per._.2.0.09 IBC, Table 1 BA!,1..1
Type of construction:
8/8/14
ueRoberdsPl ang�M_pager Date
Post on the premises in a conspicuous place. Nszcertificato shallvriot be removed except by the Building Official.
1 J
CERTIFICATE OF OCCUPANCY APPLICATION
FEES
CITY OF PORT ANGELES
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.?❑ Chan`ge/of ownership only? ❑ Moving location from within P.A.? ❑ Zoning
BUSINESS NAME
Business address I-).b_ 1/1/ -PrU/l- - Mailing addressc�t�G C�IWQEc_�
Phone number Opening Oate Days &hours of operation
Business owner's name I 'r- R(S Snt ct phone Q53 Q)S � �5
Business owner's address 1 n O ZU
Brief description of business ttn V11
Property owner's name s. Contact phone (Q - (-)S-7- Cp(Q 6 p
Property owner's address/contact Z Lary^- �j L-JA_
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 X
Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work,
adding/altering stairways, ramps, bathroom electrical heating/cooling/ventilation systems, etc).
Work plannn d: �/ f�O�1 O ��i�l�C`l.cnc� r _)CZA.'L ZL-l) JeEy o'1
FIRE DEPARTMENT phone 417-4653 Fire approval by on
Changes to a fire sprinkler system or fire alarm system? Yes ❑ No
Work planned:
PBIA (Parking Business Improvement Area -Downtown) phone 417-4623
Square footage of business? PBIA notified_
Is business moving within the PBIA? Yes ❑ No ❑
CITY CLERK phone 417-4634
�,( City Clerk approval by on
Second-hand dealer/pawnbroker business? Yes 11No VJ
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:
sfi 0-kg,
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 V
Work planned:
PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by on
Will waste, other than domestic h �e.old waste, be discharged into the sewer system? Yes,7 No
If yes, what will be discharged: ILL LSn_ �
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 e
information I have supplied is correct to the best of my knowledge. Incorrect infermatin may, result in vocation o
permit. �J
/0/3rint
S h w Ln Tvrrna� Y
Date Name m �uQ 1{��5 signature
T:\Forms\Building Division\Certificate of Occupancy Application(2010).doc
Page 2 of 2
pORf4,t�''F
CERTIFICATE OF OCCUPANCY APPLICATION #
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 =(1K c)f DU`Y P S p x,171 C)
Business address ;b SIV -PrUn q— Mailing address
Phone number Opening Oate Days &hours of operation
l -"'
Business owner's name: ) t nC 1 .'F. je-TO&n act phone Q53 -2OS
Business owner's address 1 C 1, ..� n V2(1-;qnC)--) WCA G 3ZO
Brief description of business
Property owner's name7pp Contact phone 4(D — )S - (,p(v(o O
Property owner's address/contact Ai-i' --sj A4C
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 stairwa s, ramps, bathroom electrical heating/cooling/ventilation systems, etc).
Work plann d: /�7 C�yl C7 Q >Li�IAC`�.c r�� r�)�L �.� iVl� )�et-) on
FIRE DEPARTMENT phone 417-4653 Fire approval by on
Changes to a fire sprinkler system or fire alarm system? Yes ❑ No
Work planned:
PBIA (Parking Business Improvement Area -Downtown) phone 417-4623
d
Square footage of business? ;)—-S 5 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 ❑ 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 state krat-t e
information I have supplied is correct to the best of my knowledge. Incorrect in prmatio may result in vocation o
permit. -6
Jh�rnrc^� �
Date g 13Print Name fn( I-Q Signature
)
TAForms\Building Division\Cerdficate of Occupancy Application(2010).doc
Page 2 of 2