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HomeMy WebLinkAbout325.5 W. 2nd Street Address: 325 Y2W 2 Street 3a CERTIFic-AtEOF OCCUPANCY citoo,i,Port Angeles - Building Div' �ion This certificate is issueq?4qyant to the requirements of Section 111 of the 2009 International Building Code certifying that aKihe time qj issuance this structure was in compliance wN the various ordinances of the City regulatin uilditigeonstrtictioni5e-tise-fqCthef Q,1�64ing.- Business name.- -'Cro-st-fit Thundei—r'ki d- g--e--','L'L: C 525-1/1W 2 d! treet Business addressf y i Business owner: I --Sha,wh Sinskie/Karen,Brown . 1-1-1�1 SL-- Business owner's- ddresk,J� 423 E 7t' S'treeki P'oft-kn-oe-16s W- W48"3`62' Automatic,rzre sp inklersystem: N/A 1Z Use &occupancy aldssifiq�ztion: Business Occupant load: Pee 200.9 IBC, Table Type of construction'-- U. v1-B---- 4/12/2013 0 n'i Date ng, n 2* nl,- I,I�,, a q., -4 Post on the pre"ses in a conspicuous place. hisqr, ate I--1148tb removed except by the Building Official. M Mal ,7 RT.+ CERTIFICATE OF OCCUPANCY APPLICATION Permit#J FEES CITY OF PORT ANGELES $50 Certificate/Inspection Attn: Permit Technician 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.?X Change of ownership only? 11 Moving location from within P.A.? El Zoning BUSINESS NAME Business address 3,-5 Az A/---s-f- sr, Mailing address 7" sl— Phone number 3,60 - V7;1-j6V!U Opening date Days & hours of operation Business owner's name 6,ev^ Contact phone/--V�) 2:Z Business owner's address V23 Z",,- j- /�'4 S 77 Brief description of business Property owner's name /antact phoneK, 4�� 3 ') Property owner's address/contact t-7o gl—z w".0 4>e-31" BUILDING DEPARTMENT phone 417-4815 Bld�q approval IWItH on o- Is the business a restaurant or bar that will seat 50 or more peopleP? �es 11 No i 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 El No Work planned: PBIA (Parking Business Improvement Area -Downtown) phone 417-4623 Square footage of business? Is business moving within the PBIA? Yes IJ No 19 CITY CLERK phone 417-4634 City Clerk appr(T Second-hand dealer/pawn broker business?Yes 0 No X Will there be dancing at this business? Yes 11 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 I of 2 COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by_on Number of off-street parking spaces available for employees and customers? 0 (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 [I 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 El No If yes, what will be discharged: CaH for Certificate of Occupancy inspections BEFORE openinm 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. DfV (!f Signature Print Name T:Torms\Building Division\Certificate of Occupancy Application(201 0).doc Page 2 of 2 COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on Number of off-street parking spaces available for employees and customers? IL9 (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 PWE approval by_on 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 El No Rf I Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 PWWapprovalby_on Will waste, other than domestic household waste, be discharged into the sewer system? Yes El No 06 If yes, what will be discharged: Call for Certificate of OccupancV inspections BEFORE openinq 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. J 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. D P r i n t N a m e S//".- Signature T:\Forrns\Bui1ding DivisionTertificate of Occupancy Application(201 0).doc Page 2 of 2 CERTIFICATE OF OCCUPANCY APPLICATiON Permit# FEES CITY OF PORT ANGELES $50 Certificate/ Inspection Attn: Permit Technician 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 PLEA.5E PRINT IN INK Check one: New business in P.A.?X Change of ownership only? Moving location from within P.A.? D Zoning BUSINESS NAME 4f- �--15// �- -X'/ L L C, Business address-32 5 �i Mailing address Phone number 3p;o - VX7-61-1-55' Opening date Days & hours of operation Sg,"- Business owner's name X,,, 4,^ Contact phone/3!rg9-) Business owner's address V23 S 77 Brief description of business Property owner's name Contact phone4e-?4��d Wo-6n-r7 Property owner's address/contact xVo Z el4o.--k�r 41,f 4>e3,- 2 BUILDING DEPARTMENT phone 4174815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes El No IN 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 El No N 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 [I No Od CITY CLERK phone 417-4634 City Clerk approval by on Second-hand d ealer/pawn broker business?Yes iD No X Will there be dancing at this business? Yes L1 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 I of 2 Patriqk Bartholick From: Patrick Bartholick Sent: Tuesday, March 05, 2013 9:56 AM To: Dan McKeen; Dave Chastain; Edith Parker; Eric Walrath; Janessa Hurd; Jeff Young; Jonathan Boehme; Ken Dubuc; Nathan West; Rick Hostetler; Roger Vess; Ron Becker; Tracy Rooks Subject: CofO Routings Please review the following CofO applications and enter your results in HTE. Holiday Lodge LLC (Previously the Chinook Motel) G:\EXCHANGE\Building Routings\CofO Holiday Lodge LLC.pd Crossfit Thunder Ridge LLC G:\EXCHANGE\Building Routings\CofO Crossfit Thunder Ridge LLC.pd My Choices G:\EXCHANGE\Building Routings\CofO My Choices.pdf J&L Discounts G:\EXCHANGE\Buiiding Routings\CofO J&L Discounts.pd Arts Northwest G:\EXCHANGE\Building Routings\CofO Arts Northwest.pd Pat Bartholick Code Compliance Officer 321 E Sth Street P.O. Box 1150 Port Angeles,WA 98362 Office: 360-417-4712 Fax: 360-417-4711 pbarthol(@cityofpa.Lis CER TIFICA TE OF OCCUPA NC Y A PPLICA TION Permit# (2) FEES CITY OF PORT ANGELES $50 Certificate /Inspection Attn: Permit Technician 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 PI-EASE PRINT IN INK Check one: New business in P.A.? Change of ownership only? El Moving location from within P.A.? 11 Zon ing BUSINESS NAME LI-C, Business address-3,-5 Mailing address ��3 2��-5-/ 7e* Sl— Phone number 360 - Opening date --Days & hours of operation & /W-L,- Business owner's name -Contact phone,/3g-'q) Business owner's address VZ3 S77 Brief description of business r net V /antact phone wo-a:xr,7 Property owner's name X Sy" a- Property owner's address/contact BUILDI I NGDEPARTMENT phone 4174815 Bldg approvalkof--on AIVWI Is the business a restaurant or bar that will seat 50 or more people.? es 11 No d Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, 2dding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc). Work planned: F FIRE DEPARTMENT phone 417-4 TLU E.LLc— Fire approval by on !-t 117/Z.O( Changes to a fire sprinkler system 01 --)Pw Work planned: 711ni PBIA (Parking Business Improvement -IvvtlLUWIIJ pnone 417-4623 Square footage of business? V_,576�� PBIA notified ---on Is business moving within the PBIA? Yes iD No X CITY CLERK phone 417-4634 City Clerk approval by_on Second-hand d ealer/pawn broker business? Yes 11 No Dd Will there be dancing at this business? Yes 0 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 I of 2 PREPARED 3/22/13, 13:08:52 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/22/13 ------------------------------------------------------------------------------------------------ ADDRESS . : 325 1/2 W 2ND ST SUBDIV: TENANT, NER: SHAWN SINSKIE 477-0547 CONTRACTOR : PHONE OWNER WM H CLEVENGER/JOHN A GRAY PHONE PARCEL 06-30-00-0-0-3445-0000- APPL NUMBER: 13-00000186 CO- CHANGE OF OCCP/USE ------------------------------------------------------------------------------------------------ PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 0099 01 3/22/13 JLL BLDG C/O FINAL k J\ -,OVERRIDE TAKEN By PBARTHOL DATE: 03/22/13 TIME: 11:01:17 M rch 22 013 1 :0 :29 AM pbarthol. Karen 4;7-9109 2 1 2 -------------------------------------- COMMENTS AND NOTES --------------------------------------