HomeMy WebLinkAbout525 W 8th Street Address:
811 Street
CERTIFICATE OF OCIIICUPANCY
City.�� por.t Angeles - B.uilding' -D' I ivision
This certificate is issue�-,,-iq��t�Tt to the requiremen-ts,6fSection I I I of t he 3�Q9 International Building
Code certifying that at�the,time-6fissuance this structure was in compliance-�iih the various ordinances
of the City regulatinelbuildin" 'tibn'6k'use_jor thefollo.'
elninsul"a,s�"ulp,p;.�o,tliyip�,,L.MVl�%-
Business name, �0"yM"" P
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Business address 525'W 8' Stree -
ser
Business owner d' Clos
Business owner'sbddr,,e"�s-'s,"*'�',-I P 0 Box 5209-Stehn-
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Automatiefire sp�Inklir"sy"-stem:
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Use &occupancy ssication: Bus n s,
4'
Occupant load: 'Pet,201.2 IBC, Table".1,004.1,
Type of construction,
v"
M %5q,
Date
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Post on the premises in a conspicuous place'."Thik- te-sa t be removed except by the Building Official.
-1/30 ILI' 2 3
CERTiFICA TE 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
I
PLEA.5E PRINT IN INK
Check one: New business in P.A.?[] Change of ownership only? El Moving location from within P.A.? 0 Zoning ak)
BUSINESS NU
Business address 6 W, z 1, Mailing address'V 1� ACA I')
Phone number �;Lo)-�m 4 Opening date Days & hours of operation-L':�go.-PrN ;L210R
Business owner's name_M c--�\a e-k Q-\ n Contact phone
a Z)C a J, .1
Business owner's address 2 C� 2 r)�, r:,, A � . W (\ ,
Brief description of business 1!�c, Qu " - d V 1�<i kio�4 \r\4/y,A 4,11
-tm \� ,i ( , t2,0A CA
1� "'Pt C-rL, ej W 4\ hor"'tels.-
I
Property owner's name:�C\pr,,,C-S N.3-S g c , ct�-tS Contact phone (3(,0)
Property owner's address/contact !C,c, c o N-"Q e-kz-7-,
BUILDING DEPARTMENT phone 4174815 Bldg approval by on
Is the business a restaurant or bar that will seat 50 or more people? Yes 0 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 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? PBIA notified-on
Is business moving within the PBIA? Yes G No
CITY CLERK phone 4174634 City Clerk approval by on
Second-hand dealer/pawnbroker business? Yes El No
A
Will there be dancing at this business? Yes 1:1 No 7
A City of Port Angeles Business License is required for:
Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance,
Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses.
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COMMUNITY&ECONOMIC DEVELOPMENT phone 417-4750 CEDapprovalby
Number of off-street parking spaces available for employees and
customers? IV
(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, dowrispouts,
irrigation system backfiow devices, etc.). Ye
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 11
If yes, what will be discharged:
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CaH for Certificate of Occupancy inspections BEFORE openin-g 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.
Da� Print Name Lk, �,4 (A �_(k y,�\ 9 Signaturee I A 1:g
T:\Forms\Building DivisionkCertificate of Occupancy Application(2010).doe
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